Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.01 / $167.55 / $199.96	Professional		$79.01	$167.55	$199.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $136.82 / $152.60 / $182.42	Professional		$136.82	$152.60	$182.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.84 / $91.84 / $91.84	Professional		$91.84	$91.84	$91.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $260.83 / $260.83 / $372.23	Professional		$260.83	$260.83	$372.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $162.63 / $171.63 / $198.78	Facility		$162.63	$171.63	$198.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $91.84 / $91.84 / $167.55	Professional		$91.84	$91.84	$167.55
United Facility/Professional Professional Modifier Low / Median / High Price $88.26 / $95.46 / $143.80	Professional		$88.26	$95.46	$143.80