Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.47 / $20.47 / $43.84	Facility	26	$20.47	$20.47	$43.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.70 / $160.21 / $225.49	Professional		$99.70	$160.21	$225.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.60 / $140.36 / $197.97	Professional		$108.60	$140.36	$197.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.30 / $32.34 / $145.75	Professional		$32.30	$32.34	$145.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $109.59 / $173.58 / $307.05	Professional		$109.59	$173.58	$307.05
United Facility/Professional Professional Modifier Low / Median / High Price $98.10 / $130.28 / $254.04	Professional		$98.10	$130.28	$254.04