Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.75 / $52.75 / $116.78	Facility	26	$52.75	$52.75	$116.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.19 / $138.21 / $179.92	Professional		$104.19	$138.21	$179.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.43 / $131.47 / $258.77	Professional		$65.43	$131.47	$258.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.79 / $207.28 / $251.17	Professional		$153.79	$207.28	$251.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $68.04 / $140.16	Professional		$32.34	$68.04	$140.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $153.79 / $207.28 / $251.17	Professional		$153.79	$207.28	$251.17
United Facility/Professional Professional Modifier Low / Median / High Price $183.49 / $190.83 / $297.68	Professional		$183.49	$190.83	$297.68