Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.82 / $28.82 / $60.85	Facility	26	$28.82	$28.82	$60.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.66 / $107.95 / $203.61	Professional		$93.66	$107.95	$203.61
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.17 / $31.12 / $58.26	Professional	26	$20.17	$31.12	$58.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.82 / $71.23 / $145.96	Professional		$23.82	$71.23	$145.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.18 / $136.22 / $196.93	Professional		$101.18	$136.22	$196.93
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.50 / $33.28 / $58.11	Professional	26	$24.50	$33.28	$58.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $47.10 / $141.13	Professional		$32.34	$47.10	$141.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $102.35 / $172.68 / $281.08	Professional		$102.35	$172.68	$281.08
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $24.50 / $33.31 / $55.48	Professional	26	$24.50	$33.31	$55.48
United Facility/Professional Professional Modifier Low / Median / High Price $93.61 / $123.07 / $259.13	Professional		$93.61	$123.07	$259.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.80 / $41.86 / $81.63	Professional	26	$22.80	$41.86	$81.63