Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $79.43 / $79.43 / $79.43	Facility	26	$79.43	$79.43	$79.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $97.72 / $218.78	Professional		$79.43	$97.72	$218.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $63.10 / $109.65	Professional		$37.15	$63.10	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $141.25 / $186.21	Professional		$100.00	$141.25	$186.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $112.20	Professional		$32.36	$33.11	$112.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $128.82 / $173.78	Professional		$97.72	$128.82	$173.78
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $147.91 / $218.78	Professional		$107.15	$147.91	$218.78