Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $134.90 / $141.25 / $141.25	Facility	26	$134.90	$141.25	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $371.54 / $537.03	Professional		$263.03	$371.54	$537.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $234.42 / $398.11	Professional		$70.79	$234.42	$398.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $457.09 / $676.08	Professional		$302.00	$457.09	$676.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $398.11	Professional		$32.36	$33.11	$398.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $562.34 / $851.14	Professional		$346.74	$562.34	$851.14
United Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $724.44 / $1,258.93	Professional		$338.84	$724.44	$1,258.93