Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.99 / $190.74 / $221.26	Professional		$89.99	$190.74	$221.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.83 / $154.83 / $185.11	Professional		$138.83	$154.83	$185.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.60 / $104.60 / $104.60	Professional		$104.60	$104.60	$104.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $264.68 / $264.68 / $377.72	Professional		$264.68	$264.68	$377.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $165.85 / $177.64 / $206.02	Facility		$165.85	$177.64	$206.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $104.60 / $104.60 / $190.83	Professional		$104.60	$104.60	$190.83
United Facility/Professional Professional Modifier Low / Median / High Price $100.52 / $108.72 / $163.78	Professional		$100.52	$108.72	$163.78