Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.64 / $88.64 / $88.64	Facility		$88.64	$88.64	$88.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.64 / $103.93 / $130.72	Professional		$88.64	$103.93	$130.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.95 / $109.90 / $214.69	Professional		$76.95	$109.90	$214.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.85 / $159.35 / $225.59	Professional		$111.85	$159.35	$225.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $164.37	Professional		$32.34	$32.34	$164.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $100.84 / $126.70 / $158.99	Facility		$100.84	$126.70	$158.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $111.85 / $170.34 / $244.91	Professional		$111.85	$170.34	$244.91
United Facility/Professional Professional Modifier Low / Median / High Price $138.56 / $178.20 / $259.92	Professional		$138.56	$178.20	$259.92