Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.19 / $53.19 / $125.33	Facility	26	$53.19	$53.19	$125.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.34 / $323.29 / $413.85	Professional		$180.34	$323.29	$413.85
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.19 / $72.30 / $100.26	Professional	26	$53.19	$72.30	$100.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.39 / $138.93 / $290.13	Professional		$56.39	$138.93	$290.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $201.17 / $414.06 / $624.47	Professional		$201.17	$414.06	$624.47
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.46 / $81.09 / $115.45	Professional	26	$52.46	$81.09	$115.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $73.54 / $239.34	Professional		$32.34	$73.54	$239.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $263.35 / $450.06 / $601.72	Professional		$263.35	$450.06	$601.72
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $55.02 / $83.71 / $110.04	Professional	26	$55.02	$83.71	$110.04
United Facility/Professional Professional Modifier Low / Median / High Price $198.78 / $353.47 / $685.80	Professional		$198.78	$353.47	$685.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $51.86 / $55.22 / $142.19	Professional	26	$51.86	$55.22	$142.19