Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $134.90 / $134.90 / $134.90	Facility	26	$134.90	$134.90	$134.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $169.82 / $309.03	Professional		$138.04	$169.82	$309.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $112.20 / $275.42	Professional		$64.57	$112.20	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $223.87 / $323.59	Professional		$158.49	$223.87	$323.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $223.87	Professional		$32.36	$33.11	$223.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $223.87 / $323.59	Professional		$158.49	$223.87	$323.59
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $229.09 / $309.03	Professional		$165.96	$229.09	$309.03