Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.71 / $15.71 / $15.71	Facility	26	$15.71	$15.71	$15.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.80 / $78.25 / $96.75	Professional		$69.80	$78.25	$96.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.22 / $28.33 / $80.72	Professional		$18.22	$28.33	$80.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.79 / $88.47 / $170.73	Professional		$54.79	$88.47	$170.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.80 / $32.34 / $113.11	Professional		$27.80	$32.34	$113.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $63.01 / $97.56 / $203.84	Professional		$63.01	$97.56	$203.84
United Facility/Professional Professional Modifier Low / Median / High Price $55.66 / $108.90 / $207.36	Professional		$55.66	$108.90	$207.36