Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.80 / $154.31 / $504.00	Professional		$112.80	$154.31	$504.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.91 / $107.46 / $215.88	Professional		$81.91	$107.46	$215.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.63 / $149.35 / $233.08	Professional		$110.63	$149.35	$233.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $170.24	Professional		$32.34	$32.34	$170.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $117.62 / $158.69 / $379.74	Professional		$117.62	$158.69	$379.74
United Facility/Professional Professional Modifier Low / Median / High Price $140.80 / $179.40 / $274.45	Professional		$140.80	$179.40	$274.45