Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.34 / $78.59 / $396.76	Professional		$56.34	$78.59	$396.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.68 / $48.49 / $122.02	Professional		$19.68	$48.49	$122.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.09 / $132.44 / $195.77	Professional		$79.09	$132.44	$195.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.03 / $32.71 / $103.70	Professional		$30.03	$32.71	$103.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $82.88 / $138.60 / $195.77	Professional		$82.88	$138.60	$195.77
United Facility/Professional Professional Modifier Low / Median / High Price $93.60 / $169.67 / $232.70	Professional		$93.60	$169.67	$232.70