Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.16 / $112.62 / $180.89	Professional		$94.16	$112.62	$180.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.80 / $118.54 / $216.38	Professional		$113.80	$118.54	$216.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.29 / $138.29 / $138.29	Facility		$138.29	$138.29	$138.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.44 / $174.24 / $231.99	Professional		$115.44	$174.24	$231.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $190.97	Professional		$32.34	$32.34	$190.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $96.77 / $130.38 / $192.91	Facility		$96.77	$130.38	$192.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $124.46 / $192.91 / $308.06	Professional		$124.46	$192.91	$308.06
United Facility/Professional Facility Modifier Low / Median / High Price $267.20 / $267.20 / $267.20	Facility		$267.20	$267.20	$267.20
United Facility/Professional Professional Modifier Low / Median / High Price $133.76 / $176.01 / $249.93	Professional		$133.76	$176.01	$249.93