Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.50 / $104.54 / $174.17	Professional		$90.50	$104.54	$174.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.41 / $113.97 / $207.87	Professional		$109.41	$113.97	$207.87
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 / $162.72 / $218.89	Professional		$110.85	$162.72	$218.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $183.60	Professional		$32.34	$32.34	$183.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $92.90 / $125.64 / $183.42	Facility		$92.90	$125.64	$183.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $118.50 / $182.79 / $296.89	Professional		$118.50	$182.79	$296.89
United Facility/Professional Professional Modifier Low / Median / High Price $121.68 / $171.50 / $239.97	Professional		$121.68	$171.50	$239.97