Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $147.91 / $194.98	Facility		$147.91	$147.91	$194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $147.91 / $199.53	Professional		$112.20	$147.91	$199.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $123.03 / $251.19	Professional		$89.13	$123.03	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $194.98 / $281.84	Professional		$144.54	$194.98	$281.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $275.42	Professional		$32.36	$33.11	$275.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $154.88 / $229.09	Facility		$112.20	$154.88	$229.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $181.97 / $275.42	Professional		$123.03	$181.97	$275.42
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $213.80 / $295.12	Professional		$154.88	$213.80	$295.12