Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $102.33 / $107.15 / $107.15	Facility	26	$102.33	$107.15	$107.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $154.88 / $218.78	Professional		$120.23	$154.88	$218.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $120.23 / $257.04	Professional		$61.66	$120.23	$257.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $208.93 / $275.42	Professional		$154.88	$208.93	$275.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $72.44	Professional		$32.36	$33.11	$72.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $208.93 / $275.42	Professional		$154.88	$208.93	$275.42
United Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $190.55 / $295.12	Professional		$181.97	$190.55	$295.12