Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $69.81 / $69.81 / $69.81	Facility	26	$69.81	$69.81	$69.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.92 / $140.84 / $248.33	Professional		$121.92	$140.84	$248.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.44 / $134.83 / $294.51	Professional		$80.44	$134.83	$294.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.10 / $214.78 / $303.23	Professional		$163.10	$214.78	$303.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $88.56 / $211.27	Professional		$32.34	$88.56	$211.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $163.10 / $221.78 / $336.19	Professional		$163.10	$221.78	$336.19
United Facility/Professional Professional Modifier Low / Median / High Price $194.45 / $234.35 / $342.86	Professional		$194.45	$234.35	$342.86