Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $229.09 / $229.09 / $229.09	Facility	26	$229.09	$229.09	$229.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $199.53 / $457.09	Professional		$162.18	$199.53	$457.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $154.88 / $302.00	Professional		$104.71	$154.88	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $269.15 / $416.87	Professional		$199.53	$269.15	$416.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $263.03	Professional		$32.36	$33.11	$263.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $263.03 / $371.54	Professional		$199.53	$263.03	$371.54
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $275.42 / $457.09	Professional		$194.98	$275.42	$457.09