Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.65 / $39.65 / $87.88	Facility	26	$39.65	$39.65	$87.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.32 / $256.72 / $299.74	Professional		$176.32	$256.72	$299.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.97 / $98.57 / $284.93	Professional		$48.97	$98.57	$284.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $237.47 / $320.07 / $415.02	Professional		$237.47	$320.07	$415.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $53.98 / $280.62	Professional		$32.34	$53.98	$280.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $237.47 / $320.07 / $415.02	Professional		$237.47	$320.07	$415.02
United Facility/Professional Professional Modifier Low / Median / High Price $286.27 / $300.80 / $477.14	Professional		$286.27	$300.80	$477.14