Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.30 / $102.01 / $124.59	Professional		$80.30	$102.01	$124.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.83 / $93.26 / $159.13	Professional		$20.83	$93.26	$159.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $127.81 / $127.81 / $127.81	Facility		$127.81	$127.81	$127.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $146.29 / $200.23	Professional		$100.00	$146.29	$200.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $96.80 / $169.26	Professional		$60.00	$96.80	$169.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $85.17 / $118.84 / $162.41	Facility		$85.17	$118.84	$162.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $105.30 / $157.30 / $251.29	Professional		$105.30	$157.30	$251.29
United Facility/Professional Professional Modifier Low / Median / High Price $119.88 / $162.00 / $228.01	Professional		$119.88	$162.00	$228.01