Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $2.97 / $2.97 / $2.97	Facility	26	$2.97	$2.97	$2.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.58 / $50.85 / $214.00	Professional		$39.58	$50.85	$214.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.67 / $32.82 / $56.26	Professional		$2.67	$32.82	$56.26
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $4.21 / $4.21 / $4.21	Facility	26	$4.21	$4.21	$4.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.97 / $68.75 / $90.85	Professional		$46.97	$68.75	$90.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.35 / $32.34 / $70.04	Professional		$5.35	$32.34	$70.04
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $4.21 / $4.21 / $4.21	Facility	26	$4.21	$4.21	$4.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $52.17 / $74.83 / $115.01	Professional		$52.17	$74.83	$115.01
United Facility/Professional Professional Modifier Low / Median / High Price $51.48 / $75.79 / $115.83	Professional		$51.48	$75.79	$115.83