Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.63 / $39.63 / $84.95	Facility	26	$39.63	$39.63	$84.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.57 / $153.25 / $192.40	Professional		$93.57	$153.25	$192.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.14 / $87.07 / $174.11	Professional		$38.14	$87.07	$174.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.33 / $255.96 / $403.91	Professional		$116.33	$255.96	$403.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $66.61 / $150.44	Professional		$32.34	$66.61	$150.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $153.66 / $259.80 / $349.91	Professional		$153.66	$259.80	$349.91
United Facility/Professional Professional Modifier Low / Median / High Price $140.38 / $271.94 / $374.83	Professional		$140.38	$271.94	$374.83