Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.03 / $23.03 / $23.03	Facility	26	$23.03	$23.03	$23.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.46 / $148.63 / $279.49	Professional		$139.46	$148.63	$279.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.83 / $62.98 / $199.80	Professional		$25.83	$62.98	$199.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.37 / $231.53 / $311.86	Professional		$149.37	$231.53	$311.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $39.40 / $238.69	Professional		$32.34	$39.40	$238.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $171.78 / $239.00 / $352.88	Professional		$171.78	$239.00	$352.88
United Facility/Professional Professional Modifier Low / Median / High Price $142.19 / $193.54 / $309.97	Professional		$142.19	$193.54	$309.97