Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.02 / $17.02 / $36.46	Facility	26	$17.02	$17.02	$36.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.04 / $98.79 / $108.66	Professional		$61.04	$98.79	$108.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.23 / $52.40 / $114.73	Professional		$20.23	$52.40	$114.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.86 / $112.78 / $164.30	Professional		$68.86	$112.78	$164.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.12 / $32.34 / $93.01	Professional		$28.12	$32.34	$93.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $75.18 / $150.06 / $199.35	Professional		$75.18	$150.06	$199.35
United Facility/Professional Professional Modifier Low / Median / High Price $76.76 / $97.35 / $219.02	Professional		$76.76	$97.35	$219.02