Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $29.26 / $29.26 / $29.26	Facility	26	$29.26	$29.26	$29.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.53 / $172.04 / $562.00	Professional		$129.53	$172.04	$562.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.17 / $105.85 / $223.75	Professional		$33.17	$105.85	$223.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.44 / $192.88 / $240.88	Professional		$141.44	$192.88	$240.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $53.71 / $221.55	Professional		$32.34	$53.71	$221.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $147.88 / $215.38 / $365.10	Professional		$147.88	$215.38	$365.10
United Facility/Professional Professional Modifier Low / Median / High Price $163.12 / $215.76 / $318.08	Professional		$163.12	$215.76	$318.08