Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $85.50 / $85.50 / $85.50	Facility	26	$85.50	$85.50	$85.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.15 / $213.81 / $385.48	Professional		$195.15	$213.81	$385.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.93 / $159.84 / $279.68	Professional		$73.93	$159.84	$279.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $193.91 / $261.35 / $482.77	Professional		$193.91	$261.35	$482.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $147.97 / $319.93	Professional		$32.34	$147.97	$319.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $193.91 / $284.64 / $559.04	Professional		$193.91	$284.64	$559.04
United Facility/Professional Professional Modifier Low / Median / High Price $209.28 / $339.35 / $568.02	Professional		$209.28	$339.35	$568.02