Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.79 / $118.65 / $181.90	Professional		$72.79	$118.65	$181.90
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $72.73 / $121.16 / $152.66	Professional	25	$72.73	$121.16	$152.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.15 / $87.47 / $119.98	Professional		$53.15	$87.47	$119.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.20 / $117.74 / $191.66	Professional		$63.20	$117.74	$191.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $48.44 / $105.04 / $210.08	Professional		$48.44	$105.04	$210.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $61.05 / $97.89 / $147.12	Facility		$61.05	$97.89	$147.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.68 / $121.20 / $191.66	Professional		$70.68	$121.20	$191.66
United Facility/Professional Professional Modifier Low / Median / High Price $105.82 / $156.19 / $210.95	Professional		$105.82	$156.19	$210.95