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 $199.53 / $263.03 / $758.58	Professional		$199.53	$263.03	$758.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $169.82 / $354.81	Professional		$52.48	$169.82	$354.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $269.15 / $446.68	Professional		$194.98	$269.15	$446.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $154.88	Professional		$32.36	$33.11	$154.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $269.15 / $407.38	Professional		$194.98	$269.15	$407.38
United Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $245.47 / $416.87	Professional		$234.42	$245.47	$416.87