Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.56 / $42.56 / $42.56	Facility	26	$42.56	$42.56	$42.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.90 / $87.67 / $141.91	Professional		$69.90	$87.67	$141.91
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.15 / $40.95 / $98.25	Professional	26	$37.15	$40.95	$98.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.95 / $80.29 / $166.38	Professional		$33.95	$80.29	$166.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.48 / $133.66 / $164.28	Professional		$102.48	$133.66	$164.28
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.23 / $69.43 / $86.57	Professional	26	$53.23	$69.43	$86.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.58 / $60.46 / $134.49	Professional		$13.58	$60.46	$134.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $96.90 / $133.66 / $164.28	Professional		$96.90	$133.66	$164.28
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $53.23 / $69.43 / $86.57	Professional	26	$53.23	$69.43	$86.57
United Facility/Professional Professional Modifier Low / Median / High Price $113.19 / $133.97 / $187.12	Professional		$113.19	$133.97	$187.12
United Facility/Professional Professional Modifier 26 Low / Median / High Price $55.80 / $70.72 / $106.65	Professional	26	$55.80	$70.72	$106.65