Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.68 / $158.26 / $193.43	Professional		$77.68	$158.26	$193.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $132.35 / $176.47 / $176.47	Professional		$132.35	$176.47	$176.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.76 / $86.76 / $86.76	Professional		$86.76	$86.76	$86.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $95.00 / $360.08 / $360.08	Professional		$95.00	$360.08	$360.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $148.33 / $165.84 / $187.77	Facility		$148.33	$165.84	$187.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $86.76 / $86.76 / $161.61	Professional		$86.76	$86.76	$161.61
United Facility/Professional Professional Modifier Low / Median / High Price $83.36 / $90.17 / $135.82	Professional		$83.36	$90.17	$135.82