Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.86 / $42.86 / $42.86	Facility	26	$42.86	$42.86	$42.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.45 / $102.43 / $150.22	Professional		$74.45	$102.43	$150.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.30 / $74.11 / $137.26	Professional		$48.30	$74.11	$137.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.16 / $132.63 / $185.65	Professional		$97.16	$132.63	$185.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $51.42 / $125.58	Professional		$32.34	$51.42	$125.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $97.16 / $141.77 / $211.45	Professional		$97.16	$141.77	$211.45
United Facility/Professional Professional Modifier Low / Median / High Price $122.25 / $151.76 / $219.61	Professional		$122.25	$151.76	$219.61