Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.82 / $22.82 / $48.80	Facility	26	$22.82	$22.82	$48.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.28 / $208.64 / $1,532.71	Professional		$169.28	$208.64	$1,532.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.01 / $157.36 / $346.07	Professional		$29.01	$157.36	$346.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.91 / $250.22 / $406.95	Professional		$195.91	$250.22	$406.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $47.37 / $331.82	Professional		$32.34	$47.37	$331.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $177.52 / $277.02 / $406.95	Professional		$177.52	$277.02	$406.95
United Facility/Professional Professional Modifier Low / Median / High Price $153.28 / $159.13 / $453.46	Professional		$153.28	$159.13	$453.46