Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.64 / $38.64 / $83.00	Facility	26	$38.64	$38.64	$83.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.38 / $209.05 / $256.43	Professional		$104.38	$209.05	$256.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.46 / $99.17 / $218.03	Professional		$43.46	$99.17	$218.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.82 / $276.73 / $414.50	Professional		$129.82	$276.73	$414.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $63.71 / $170.96	Professional		$32.34	$63.71	$170.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $175.97 / $284.75 / $382.12	Professional		$175.97	$284.75	$382.12
United Facility/Professional Professional Modifier Low / Median / High Price $153.38 / $288.17 / $410.80	Professional		$153.38	$288.17	$410.80