Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.30 / $27.30 / $57.75	Facility	26	$27.30	$27.30	$57.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.75 / $213.50 / $1,094.67	Professional		$132.75	$213.50	$1,094.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.49 / $259.48 / $342.11	Professional		$194.49	$259.48	$342.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $55.42 / $249.88	Professional		$32.34	$55.42	$249.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $159.71 / $287.29 / $342.11	Professional		$159.71	$287.29	$342.11
United Facility/Professional Professional Modifier Low / Median / High Price $152.99 / $163.71 / $372.98	Professional		$152.99	$163.71	$372.98