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 $172.28 / $294.24 / $1,267.16	Professional		$172.28	$294.24	$1,267.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.00 / $168.54 / $370.56	Professional		$67.00	$168.54	$370.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $196.43 / $264.75 / $407.41	Professional		$196.43	$264.75	$407.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $86.56 / $250.47	Professional		$32.34	$86.56	$250.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $196.43 / $264.75 / $403.64	Professional		$196.43	$264.75	$403.64
United Facility/Professional Professional Modifier Low / Median / High Price $235.34 / $255.78 / $412.38	Professional		$235.34	$255.78	$412.38