Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.88 / $21.88 / $21.88	Facility	26	$21.88	$21.88	$21.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $53.70 / $109.65	Professional		$43.65	$53.70	$109.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $34.67 / $47.86	Professional		$10.00	$34.67	$47.86
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $3.47 / $16.22 / $22.91	Facility	26	$3.47	$16.22	$22.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $74.13 / $100.00	Professional		$53.70	$74.13	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $33.11 / $69.18	Professional		$29.51	$33.11	$69.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $77.62 / $112.20	Professional		$53.70	$77.62	$112.20
United Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $77.62 / $104.71	Professional		$53.70	$77.62	$104.71