Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $169.82 / $213.80	Professional		$85.11	$169.82	$213.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $204.17 / $204.17	Professional		$151.36	$204.17	$204.17
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 / $95.50 / $354.81	Professional		$95.50	$95.50	$354.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $194.98 / $251.19	Facility		$141.25	$194.98	$251.19
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 $87.10 / $95.50 / $141.25	Professional		$87.10	$95.50	$141.25