Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.16 / $25.16 / $52.61	Facility	26	$25.16	$25.16	$52.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.51 / $100.60 / $237.46	Professional		$71.51	$100.60	$237.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $63.08 / $63.08 / $63.08	Professional		$63.08	$63.08	$63.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.73 / $61.27 / $134.71	Professional		$27.73	$61.27	$134.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.51 / $116.61 / $163.13	Professional		$75.51	$116.61	$163.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $51.07 / $129.72	Professional		$32.34	$51.07	$129.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $78.22 / $149.04 / $212.80	Professional		$78.22	$149.04	$212.80
United Facility/Professional Professional Modifier Low / Median / High Price $92.03 / $99.39 / $181.05	Professional		$92.03	$99.39	$181.05