Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $69.37 / $69.37 / $154.01	Facility	26	$69.37	$69.37	$154.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $220.00 / $233.65 / $440.71	Professional		$220.00	$233.65	$440.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.26 / $191.39 / $487.27	Professional		$88.26	$191.39	$487.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.06 / $346.47 / $539.02	Professional		$257.06	$346.47	$539.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $113.06 / $360.93	Professional		$32.34	$113.06	$360.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $257.06 / $346.47 / $528.20	Professional		$257.06	$346.47	$528.20
United Facility/Professional Professional Modifier Low / Median / High Price $307.91 / $327.85 / $540.03	Professional		$307.91	$327.85	$540.03