Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $158.49 / $199.53	Professional		$100.00	$158.49	$199.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $181.97 / $181.97	Professional		$138.04	$181.97	$181.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Professional		$91.20	$91.20	$91.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $263.03 / $389.05	Professional		$95.50	$263.03	$389.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $186.21 / $234.42	Facility		$134.90	$186.21	$234.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Professional		$93.33	$93.33	$93.33
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $95.50 / $144.54	Professional		$89.13	$95.50	$144.54