Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.99 / $117.97 / $153.32	Professional		$111.99	$117.97	$153.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.90 / $146.62 / $208.88	Professional		$114.90	$146.62	$208.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $139.44 / $139.44 / $599.00	Facility		$139.44	$139.44	$599.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.56 / $178.07 / $225.50	Professional		$121.56	$178.07	$225.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $188.38	Professional		$32.34	$32.34	$188.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $112.85 / $142.01 / $218.50	Facility		$112.85	$142.01	$218.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $136.71 / $200.69 / $326.16	Professional		$136.71	$200.69	$326.16
United Facility/Professional Professional Modifier Low / Median / High Price $121.87 / $166.81 / $251.35	Professional		$121.87	$166.81	$251.35