Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $74.76 / $74.76 / $157.47	Facility	26	$74.76	$74.76	$157.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.66 / $219.49 / $385.52	Professional		$170.66	$219.49	$385.52
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $113.41 / $113.41 / $113.41	Facility	26	$113.41	$113.41	$113.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $205.85 / $287.44 / $450.83	Professional		$205.85	$287.44	$450.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $132.97 / $267.47	Professional		$32.34	$132.97	$267.47
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $113.41 / $113.41 / $113.41	Facility	26	$113.41	$113.41	$113.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $218.84 / $328.45 / $669.90	Professional		$218.84	$328.45	$669.90
United Facility/Professional Professional Modifier Low / Median / High Price $203.15 / $252.63 / $474.79	Professional		$203.15	$252.63	$474.79