Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.06 / $82.44 / $94.38	Facility	26	$43.06	$82.44	$94.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.15 / $178.37 / $755.00	Professional		$108.15	$178.37	$755.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.78 / $107.26 / $200.19	Professional		$44.78	$107.26	$200.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.10 / $180.55 / $243.13	Professional		$118.10	$180.55	$243.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $86.97 / $204.22	Professional		$32.34	$86.97	$204.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $127.40 / $212.83 / $320.80	Professional		$127.40	$212.83	$320.80
United Facility/Professional Professional Modifier Low / Median / High Price $122.27 / $145.80 / $286.83	Professional		$122.27	$145.80	$286.83