Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.10 / $28.10 / $59.50	Facility	26	$28.10	$28.10	$59.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.62 / $103.79 / $123.72	Professional		$72.62	$103.79	$123.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.22 / $66.05 / $121.48	Professional		$27.22	$66.05	$121.48
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.40 / $43.40 / $43.40	Facility	26	$43.40	$43.40	$43.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.12 / $134.40 / $207.32	Professional		$82.12	$134.40	$207.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $53.35 / $120.42	Professional		$32.34	$53.35	$120.42
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $43.40 / $43.40 / $43.40	Facility	26	$43.40	$43.40	$43.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $84.32 / $166.31 / $256.32	Professional		$84.32	$166.31	$256.32
United Facility/Professional Professional Modifier Low / Median / High Price $100.69 / $113.97 / $196.34	Professional		$100.69	$113.97	$196.34