Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.04 / $17.04 / $36.58	Facility	26	$17.04	$17.04	$36.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.41 / $170.91 / $283.44	Professional		$157.41	$170.91	$283.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.63 / $98.60 / $385.99	Professional		$22.63	$98.60	$385.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $142.58 / $239.96 / $404.92	Professional		$142.58	$239.96	$404.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.96 / $34.39 / $321.91	Professional		$26.96	$34.39	$321.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $183.97 / $269.55 / $404.92	Professional		$183.97	$269.55	$404.92
United Facility/Professional Professional Modifier Low / Median / High Price $167.84 / $176.31 / $414.75	Professional		$167.84	$176.31	$414.75