Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.75 / $17.75 / $37.38	Facility	26	$17.75	$17.75	$37.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.42 / $165.19 / $198.12	Professional		$103.42	$165.19	$198.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.88 / $90.56 / $164.99	Professional		$16.88	$90.56	$164.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.17 / $101.31 / $189.03	Professional		$75.17	$101.31	$189.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.29 / $32.34 / $157.16	Professional		$28.29	$32.34	$157.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $75.17 / $118.00 / $310.87	Professional		$75.17	$118.00	$310.87
United Facility/Professional Professional Modifier Low / Median / High Price $67.81 / $132.09 / $326.82	Professional		$67.81	$132.09	$326.82