Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.38 / $170.95 / $221.62	Professional		$78.38	$170.95	$221.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.63 / $202.18 / $202.18	Professional		$151.63	$202.18	$202.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.11 / $91.11 / $91.11	Professional		$91.11	$91.11	$91.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $95.00 / $412.54 / $412.54	Professional		$95.00	$412.54	$412.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $153.58 / $190.01 / $215.13	Facility		$153.58	$190.01	$215.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $91.11 / $91.11 / $181.49	Professional		$91.11	$91.11	$181.49
United Facility/Professional Professional Modifier Low / Median / High Price $87.56 / $94.70 / $142.65	Professional		$87.56	$94.70	$142.65