Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.98 / $15.98 / $15.98	Facility	26	$15.98	$15.98	$15.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.75 / $82.53 / $111.51	Professional		$59.75	$82.53	$111.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.22 / $28.33 / $108.12	Professional		$18.22	$28.33	$108.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.08 / $95.34 / $185.84	Professional		$56.08	$95.34	$185.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.80 / $32.34 / $129.16	Professional		$27.80	$32.34	$129.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $64.48 / $105.00 / $228.18	Professional		$64.48	$105.00	$228.18
United Facility/Professional Professional Modifier Low / Median / High Price $57.04 / $116.53 / $202.24	Professional		$57.04	$116.53	$202.24