Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.43 / $22.43 / $22.43	Facility	26	$22.43	$22.43	$22.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.69 / $128.78 / $178.25	Professional		$127.69	$128.78	$178.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.16 / $62.98 / $183.33	Professional		$25.16	$62.98	$183.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.94 / $217.59 / $287.89	Professional		$144.94	$217.59	$287.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $38.38 / $214.04	Professional		$32.34	$38.38	$214.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $166.68 / $224.66 / $325.38	Professional		$166.68	$224.66	$325.38
United Facility/Professional Professional Modifier Low / Median / High Price $135.69 / $210.56 / $304.57	Professional		$135.69	$210.56	$304.57