Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.44 / $103.97 / $111.16	Professional		$44.44	$103.97	$111.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.06 / $101.41 / $101.41	Professional		$76.06	$101.41	$101.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.66 / $51.66 / $51.66	Professional		$51.66	$51.66	$51.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $95.00 / $206.93 / $206.93	Professional		$95.00	$206.93	$206.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $87.07 / $95.42 / $121.97	Facility		$87.07	$95.42	$121.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $51.66 / $51.66 / $111.50	Professional		$51.66	$51.66	$111.50
United Facility/Professional Professional Modifier Low / Median / High Price $49.64 / $53.69 / $80.88	Professional		$49.64	$53.69	$80.88