Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.09 / $30.09 / $63.46	Facility	26	$30.09	$30.09	$63.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.08 / $126.68 / $197.12	Professional		$78.08	$126.68	$197.12
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.09 / $50.77 / $65.17	Professional	26	$30.09	$50.77	$65.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.79 / $82.33 / $209.86	Professional		$38.79	$82.33	$209.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.43 / $119.57 / $172.08	Professional		$91.43	$119.57	$172.08
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.19 / $52.72 / $72.53	Professional	26	$36.19	$52.72	$72.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $51.31 / $131.60	Professional		$32.34	$51.31	$131.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $94.64 / $153.22 / $245.18	Professional		$94.64	$153.22	$245.18
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $36.22 / $52.72 / $72.53	Professional	26	$36.22	$52.72	$72.53
United Facility/Professional Professional Modifier Low / Median / High Price $94.79 / $109.35 / $217.24	Professional		$94.79	$109.35	$217.24
United Facility/Professional Professional Modifier 26 Low / Median / High Price $40.43 / $43.67 / $94.81	Professional	26	$40.43	$43.67	$94.81