Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.12 / $117.65 / $134.68	Facility	26	$64.12	$117.65	$134.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.50 / $160.11 / $515.59	Professional		$133.50	$160.11	$515.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $136.69 / $136.69 / $136.69	Professional		$136.69	$136.69	$136.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.66 / $132.53 / $243.72	Professional		$68.66	$132.53	$243.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.00 / $252.94 / $351.02	Professional		$164.00	$252.94	$351.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $119.06 / $240.51	Professional		$32.34	$119.06	$240.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $167.82 / $316.94 / $464.13	Professional		$167.82	$316.94	$464.13
United Facility/Professional Professional Modifier Low / Median / High Price $202.46 / $205.56 / $398.31	Professional		$202.46	$205.56	$398.31