Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.57 / $174.93 / $247.61	Professional		$87.57	$174.93	$247.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.42 / $177.30 / $225.89	Professional		$169.42	$177.30	$225.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.80 / $101.80 / $101.80	Professional		$101.80	$101.80	$101.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $322.99 / $322.99 / $460.93	Professional		$322.99	$322.99	$460.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $180.27 / $212.51 / $245.13	Facility		$180.27	$212.51	$245.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $101.80 / $101.80 / $185.71	Professional		$101.80	$101.80	$185.71
United Facility/Professional Professional Modifier Low / Median / High Price $97.82 / $105.81 / $159.38	Professional		$97.82	$105.81	$159.38