Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.98 / $95.99 / $140.93	Facility		$71.98	$95.99	$140.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.98 / $104.96 / $139.96	Professional		$71.98	$104.96	$139.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.73 / $106.18 / $162.36	Professional		$78.73	$106.18	$162.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.20 / $147.88 / $253.72	Professional		$95.20	$147.88	$253.72
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 $80.37 / $113.45 / $149.49	Facility		$80.37	$113.45	$149.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $94.65 / $144.51 / $255.29	Professional		$94.65	$144.51	$255.29
United Facility/Professional Professional Modifier Low / Median / High Price $133.59 / $186.15 / $282.81	Professional		$133.59	$186.15	$282.81