Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $109.65 / $114.82 / $114.82	Facility	26	$109.65	$114.82	$114.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $263.03 / $645.65	Professional		$194.98	$263.03	$645.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $177.83 / $269.15	Professional		$56.23	$177.83	$269.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $263.03 / $398.11	Professional		$208.93	$263.03	$398.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $302.00	Professional		$32.36	$33.11	$302.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $331.13 / $616.60	Professional		$223.87	$331.13	$616.60
United Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $275.42 / $512.86	Professional		$208.93	$275.42	$512.86