Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.76 / $106.76 / $106.76	Facility		$106.76	$106.76	$106.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.76 / $118.56 / $149.81	Professional		$106.76	$118.56	$149.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.59 / $78.02 / $154.90	Professional		$44.59	$78.02	$154.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.00 / $155.94 / $264.38	Professional		$107.00	$155.94	$264.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $80.84 / $170.10	Professional		$32.34	$80.84	$170.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $100.32 / $118.40 / $149.81	Facility		$100.32	$118.40	$149.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $115.70 / $169.11 / $303.48	Professional		$115.70	$169.11	$303.48
United Facility/Professional Professional Modifier Low / Median / High Price $119.38 / $183.00 / $310.22	Professional		$119.38	$183.00	$310.22