Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.67 / $120.55 / $200.44	Professional		$42.67	$120.55	$200.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.46 / $98.38 / $213.93	Professional		$93.46	$98.38	$213.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.09 / $128.38 / $218.51	Professional		$55.09	$128.38	$218.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $192.94	Professional		$32.34	$32.34	$192.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $57.30 / $156.30 / $385.72	Professional		$57.30	$156.30	$385.72
United Facility/Professional Professional Modifier Low / Median / High Price $134.41 / $200.70 / $332.60	Professional		$134.41	$200.70	$332.60