Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Facility		$138.04	$138.04	$138.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $162.18 / $234.42	Professional		$19.95	$162.18	$234.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $75.86 / $97.72	Professional		$56.23	$75.86	$97.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Professional		$181.97	$181.97	$181.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $120.23 / $208.93	Professional		$44.67	$120.23	$208.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $158.49 / $288.40	Facility		$29.51	$158.49	$288.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Professional		$147.91	$147.91	$147.91
United Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $245.47 / $398.11	Professional		$177.83	$245.47	$398.11