Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $148.07 / $148.07 / $193.08	Facility		$148.07	$148.07	$193.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.68 / $134.44 / $179.90	Professional		$109.68	$134.44	$179.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.58 / $122.64 / $250.02	Professional		$73.58	$122.64	$250.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.72 / $197.11 / $292.06	Professional		$144.72	$197.11	$292.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $138.49 / $276.98	Professional		$32.34	$138.49	$276.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $101.38 / $148.07 / $205.31	Facility		$101.38	$148.07	$205.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $176.19 / $292.06	Professional		$60.00	$176.19	$292.06
United Facility/Professional Professional Modifier Low / Median / High Price $175.21 / $240.00 / $388.80	Professional		$175.21	$240.00	$388.80