Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.48 / $54.95 / $54.95	Facility	26	$52.48	$54.95	$54.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $83.18 / $186.21	Professional		$52.48	$83.18	$186.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $63.10 / $154.88	Professional		$27.54	$63.10	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $162.18 / $275.42	Professional		$58.88	$162.18	$275.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $162.18	Professional		$32.36	$33.11	$162.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $162.18 / $275.42	Professional		$61.66	$162.18	$275.42
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $165.96 / $257.04	Professional		$93.33	$165.96	$257.04