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 $165.96 / $199.53 / $371.54	Professional		$165.96	$199.53	$371.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $125.89 / $218.78	Professional		$37.15	$125.89	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $257.04 / $407.38	Professional		$186.21	$257.04	$407.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $257.04	Professional		$32.36	$33.11	$257.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $239.88 / $346.74	Professional		$186.21	$239.88	$346.74
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $275.42 / $478.63	Professional		$169.82	$275.42	$478.63