Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.78 / $85.78 / $85.78	Facility		$85.78	$85.78	$85.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.78 / $104.79 / $371.00	Professional		$85.78	$104.79	$371.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.57 / $87.23 / $134.68	Professional		$82.57	$87.23	$134.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.33 / $128.05 / $194.56	Professional		$91.33	$128.05	$194.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $85.44 / $123.66 / $164.88	Facility		$85.44	$123.66	$164.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $91.33 / $157.19 / $251.16	Professional		$91.33	$157.19	$251.16
United Facility/Professional Professional Modifier Low / Median / High Price $107.80 / $159.24 / $190.21	Professional		$107.80	$159.24	$190.21