Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.46 / $129.60 / $222.23	Professional		$100.46	$129.60	$222.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.56 / $123.41 / $264.66	Professional		$92.56	$123.41	$264.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.76 / $115.76 / $115.76	Professional		$115.76	$115.76	$115.76
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 $106.58 / $142.49 / $331.23	Facility		$106.58	$142.49	$331.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $115.76 / $155.18 / $355.12	Professional		$115.76	$155.18	$355.12
United Facility/Professional Professional Modifier Low / Median / High Price $153.19 / $206.80 / $310.22	Professional		$153.19	$206.80	$310.22