Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.65 / $33.65 / $33.65	Facility	26	$33.65	$33.65	$33.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.29 / $94.58 / $182.30	Professional		$80.29	$94.58	$182.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.35 / $64.76 / $125.47	Professional		$38.35	$64.76	$125.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.00 / $120.13 / $217.27	Professional		$89.00	$120.13	$217.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $58.50 / $146.47	Professional		$32.34	$58.50	$146.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $131.75 / $250.24	Professional		$89.13	$131.75	$250.24
United Facility/Professional Professional Modifier Low / Median / High Price $90.50 / $145.26 / $247.04	Professional		$90.50	$145.26	$247.04