Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.39 / $77.59 / $88.84	Facility	26	$42.39	$77.59	$88.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.87 / $143.84 / $623.00	Professional		$113.87	$143.84	$623.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.85 / $80.23 / $149.63	Professional		$39.85	$80.23	$149.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.77 / $152.35 / $211.46	Professional		$100.77	$152.35	$211.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $79.81 / $161.72	Professional		$32.34	$79.81	$161.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $103.71 / $193.19 / $276.51	Professional		$103.71	$193.19	$276.51
United Facility/Professional Professional Modifier Low / Median / High Price $123.43 / $129.60 / $261.44	Professional		$123.43	$129.60	$261.44