Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.04 / $20.04 / $42.05	Facility	26	$20.04	$20.04	$42.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.04 / $52.27 / $89.63	Professional		$37.04	$52.27	$89.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.71 / $39.58 / $85.21	Professional		$18.71	$39.58	$85.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.25 / $64.87 / $86.21	Professional		$42.25	$64.87	$86.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $35.36 / $88.42	Professional		$32.34	$35.36	$88.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $44.13 / $75.59 / $115.33	Professional		$44.13	$75.59	$115.33
United Facility/Professional Professional Modifier Low / Median / High Price $48.93 / $55.70 / $104.28	Professional		$48.93	$55.70	$104.28