Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $29.98 / $29.98 / $63.55	Facility	26	$29.98	$29.98	$63.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.67 / $135.74 / $194.96	Professional		$83.67	$135.74	$194.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.98 / $50.84 / $60.49	Professional	26	$29.98	$50.84	$60.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.00 / $79.77 / $503.90	Professional		$37.00	$79.77	$503.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.43 / $162.80 / $244.69	Professional		$97.43	$162.80	$244.69
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.46 / $54.00 / $72.64	Professional	26	$34.46	$54.00	$72.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $48.71 / $130.53	Professional		$32.34	$48.71	$130.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $114.32 / $184.22 / $294.42	Professional		$114.32	$184.22	$294.42
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $36.32 / $54.00 / $72.64	Professional	26	$36.32	$54.00	$72.64
United Facility/Professional Professional Modifier Low / Median / High Price $108.99 / $159.41 / $262.74	Professional		$108.99	$159.41	$262.74
United Facility/Professional Professional Modifier 26 Low / Median / High Price $39.90 / $43.67 / $99.54	Professional	26	$39.90	$43.67	$99.54