Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $48.42 / $48.42 / $114.56	Facility	26	$48.42	$48.42	$114.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.85 / $134.19 / $182.32	Professional		$95.85	$134.19	$182.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.86 / $101.93 / $195.50	Professional		$51.86	$101.93	$195.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.27 / $197.08 / $239.22	Professional		$97.27	$197.08	$239.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $80.56 / $165.82	Professional		$32.34	$80.56	$165.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $100.05 / $197.08 / $239.22	Professional		$100.05	$197.08	$239.22
United Facility/Professional Professional Modifier Low / Median / High Price $123.79 / $144.27 / $250.39	Professional		$123.79	$144.27	$250.39