Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.01 / $53.01 / $124.49	Facility	26	$53.01	$53.01	$124.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.04 / $324.16 / $324.16	Professional		$181.04	$324.16	$324.16
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.01 / $99.59 / $99.59	Professional	26	$53.01	$99.59	$99.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.69 / $139.82 / $351.18	Professional		$56.69	$139.82	$351.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $203.47 / $416.35 / $629.25	Professional		$203.47	$416.35	$629.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.75 / $81.09 / $116.05	Professional	26	$52.75	$81.09	$116.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $73.93 / $252.15	Professional		$32.34	$73.93	$252.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $266.33 / $452.53 / $607.60	Professional		$266.33	$452.53	$607.60
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $54.65 / $84.14 / $109.31	Professional	26	$54.65	$84.14	$109.31
United Facility/Professional Professional Modifier Low / Median / High Price $199.09 / $354.39 / $590.04	Professional		$199.09	$354.39	$590.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $51.86 / $55.22 / $142.19	Professional	26	$51.86	$55.22	$142.19