Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.26 / $63.10 / $63.10	Facility	26	$60.26	$63.10	$63.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $114.82 / $281.84	Professional		$75.86	$114.82	$281.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $87.10 / $131.83	Professional		$39.81	$87.10	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $165.96 / $251.19	Professional		$100.00	$165.96	$251.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $131.83	Professional		$32.36	$33.11	$131.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $194.98 / $295.12	Professional		$112.20	$194.98	$295.12
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $158.49 / $281.84	Professional		$112.20	$158.49	$281.84