Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.18 / $41.18 / $41.18	Facility	26	$41.18	$41.18	$41.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.20 / $100.77 / $525.00	Professional		$90.20	$100.77	$525.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.74 / $77.58 / $155.16	Professional		$46.74	$77.58	$155.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.58 / $135.57 / $228.98	Professional		$100.58	$135.57	$228.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $71.31 / $155.28	Professional		$32.34	$71.31	$155.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $100.58 / $145.25 / $265.45	Professional		$100.58	$145.25	$265.45
United Facility/Professional Professional Modifier Low / Median / High Price $106.08 / $160.56 / $275.39	Professional		$106.08	$160.56	$275.39