Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.73 / $97.59 / $161.76	Professional		$68.73	$97.59	$161.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.35 / $102.30 / $173.51	Professional		$94.35	$102.30	$173.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.15 / $137.72 / $200.36	Professional		$101.15	$137.72	$200.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $204.97	Professional		$32.34	$32.34	$204.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $105.94 / $137.72 / $200.36	Professional		$105.94	$137.72	$200.36
United Facility/Professional Professional Modifier Low / Median / High Price $115.85 / $159.50 / $220.11	Professional		$115.85	$159.50	$220.11