Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.82 / $107.65 / $132.55	Professional		$84.82	$107.65	$132.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.81 / $102.10 / $181.02	Professional		$77.81	$102.10	$181.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $124.10 / $124.10 / $124.10	Facility		$124.10	$124.10	$124.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.42 / $96.42 / $96.42	Professional		$96.42	$96.42	$96.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $141.05	Professional		$32.34	$32.34	$141.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $88.91 / $110.27 / $166.01	Facility		$88.91	$110.27	$166.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $96.42 / $126.90 / $294.70	Professional		$96.42	$126.90	$294.70
United Facility/Professional Professional Modifier Low / Median / High Price $119.74 / $161.72 / $231.40	Professional		$119.74	$161.72	$231.40