Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.46 / $110.46 / $110.46	Facility		$110.46	$110.46	$110.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.03 / $107.80 / $127.82	Professional		$70.03	$107.80	$127.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.06 / $91.07 / $121.42	Professional		$91.06	$91.07	$121.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.01 / $62.01 / $99.03	Professional		$62.01	$62.01	$99.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $182.39 / $247.74 / $247.74	Professional		$182.39	$247.74	$247.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $79.29 / $109.92 / $172.25	Facility		$79.29	$109.92	$172.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $62.01 / $62.01 / $214.25	Professional		$62.01	$62.01	$214.25
United Facility/Professional Professional Modifier Low / Median / High Price $64.45 / $68.95 / $109.71	Professional		$64.45	$68.95	$109.71