Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $93.33 / $95.50 / $95.50	Facility	26	$93.33	$95.50	$95.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $229.09 / $524.81	Professional		$158.49	$229.09	$524.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $151.36 / $251.19	Professional		$48.98	$151.36	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $288.40 / $489.78	Professional		$194.98	$288.40	$489.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $239.88	Professional		$32.36	$33.11	$239.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $363.08 / $537.03	Professional		$218.78	$363.08	$537.03
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $645.65 / $1,148.15	Professional		$213.80	$645.65	$1,148.15