Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.77 / $105.24 / $515.47	Professional		$77.77	$105.24	$515.47
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.55 / $15.67 / $83.99	Professional	26	$12.55	$15.67	$83.99
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.66 / $23.66 / $29.25	Facility	26	$23.66	$23.66	$29.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.56 / $119.00 / $188.59	Professional		$71.56	$119.00	$188.59
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.33 / $23.66 / $35.54	Professional	26	$15.33	$23.66	$35.54
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $23.66 / $23.66 / $29.25	Facility	26	$23.66	$23.66	$29.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $102.86 / $165.63 / $256.43	Professional		$102.86	$165.63	$256.43
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $14.79 / $23.66 / $30.91	Professional	26	$14.79	$23.66	$30.91
United Facility/Professional Professional Modifier Low / Median / High Price $74.48 / $89.86 / $157.81	Professional		$74.48	$89.86	$157.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.16 / $16.22 / $26.62	Professional	26	$15.16	$16.22	$26.62