Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.46 / $127.38 / $167.44	Professional		$87.46	$127.38	$167.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.84 / $103.17 / $159.38	Professional		$65.84	$103.17	$159.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.66 / $137.86 / $205.85	Professional		$86.66	$137.86	$205.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $142.16 / $186.96	Professional		$32.34	$142.16	$186.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $97.50 / $120.57 / $148.82	Facility		$97.50	$120.57	$148.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.25 / $140.26 / $205.85	Professional		$87.25	$140.26	$205.85
United Facility/Professional Professional Modifier Low / Median / High Price $119.47 / $160.66 / $210.95	Professional		$119.47	$160.66	$210.95