Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.09 / $11.09 / $23.60	Facility	26	$11.09	$11.09	$23.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.23 / $112.37 / $112.37	Professional		$70.23	$112.37	$112.37
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.09 / $18.88 / $18.88	Professional	26	$11.09	$18.88	$18.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.27 / $36.90 / $124.13	Professional		$14.27	$36.90	$124.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.37 / $103.41 / $155.97	Professional		$77.37	$103.41	$155.97
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.24 / $20.46 / $26.97	Professional	26	$13.24	$20.46	$26.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.57 / $32.34 / $126.05	Professional		$18.57	$32.34	$126.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.14 / $131.85 / $216.16	Professional		$79.14	$131.85	$216.16
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $13.26 / $20.46 / $26.97	Professional	26	$13.26	$20.46	$26.97
United Facility/Professional Professional Modifier Low / Median / High Price $73.22 / $89.86 / $194.35	Professional		$73.22	$89.86	$194.35
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.98 / $15.87 / $35.54	Professional	26	$14.98	$15.87	$35.54