Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.59 / $101.60 / $174.17	Professional		$87.59	$101.60	$174.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.12 / $113.97 / $209.46	Professional		$109.12	$113.97	$209.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $132.90 / $132.90 / $132.90	Facility		$132.90	$132.90	$132.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.85 / $163.97 / $222.37	Professional		$110.85	$163.97	$222.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $178.08	Professional		$32.34	$32.34	$178.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $92.90 / $125.64 / $181.54	Facility		$92.90	$125.64	$181.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $118.50 / $184.57 / $296.89	Professional		$118.50	$184.57	$296.89
United Facility/Professional Professional Modifier Low / Median / High Price $123.07 / $171.99 / $239.97	Professional		$123.07	$171.99	$239.97