Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.29 / $148.81 / $148.81	Professional		$81.29	$148.81	$148.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.79 / $103.06 / $192.20	Professional		$67.79	$103.06	$192.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.28 / $89.28 / $89.28	Professional		$89.28	$89.28	$89.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $144.16	Professional		$32.34	$32.34	$144.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $89.28 / $89.28 / $89.28	Professional		$89.28	$89.28	$89.28
United Facility/Professional Professional Modifier Low / Median / High Price $144.50 / $203.39 / $281.51	Professional		$144.50	$203.39	$281.51