Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.83 / $115.79 / $132.69	Professional		$55.83	$115.79	$132.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.79 / $101.26 / $121.05	Professional		$90.79	$101.26	$121.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.08 / $60.08 / $60.08	Professional		$60.08	$60.08	$60.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $95.00 / $173.07 / $246.99	Professional		$95.00	$173.07	$246.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $106.39 / $113.77 / $128.80	Facility		$106.39	$113.77	$128.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.08 / $60.08 / $122.92	Professional		$60.08	$60.08	$122.92
United Facility/Professional Professional Modifier Low / Median / High Price $57.74 / $62.45 / $94.07	Professional		$57.74	$62.45	$94.07