Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.26 / $25.26 / $25.26	Facility	26	$25.26	$25.26	$25.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.79 / $74.87 / $96.44	Professional		$68.79	$74.87	$96.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.90 / $58.69 / $115.49	Professional		$28.90	$58.69	$115.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.05 / $110.59 / $170.18	Professional		$82.05	$110.59	$170.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $44.08 / $113.34	Professional		$32.34	$44.08	$113.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $82.05 / $115.22 / $192.43	Professional		$82.05	$115.22	$192.43
United Facility/Professional Professional Modifier Low / Median / High Price $82.72 / $119.90 / $188.73	Professional		$82.72	$119.90	$188.73