Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.53 / $234.40 / $298.79	Professional		$110.53	$234.40	$298.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.30 / $204.43 / $272.57	Professional		$177.30	$204.43	$272.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.49 / $128.49 / $128.49	Professional		$128.49	$128.49	$128.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $389.74 / $389.74 / $556.19	Professional		$389.74	$389.74	$556.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $216.57 / $256.17 / $290.04	Facility		$216.57	$256.17	$290.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $128.49 / $128.49 / $234.40	Professional		$128.49	$128.49	$234.40
United Facility/Professional Professional Modifier Low / Median / High Price $123.48 / $133.55 / $201.17	Professional		$123.48	$133.55	$201.17