Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.58 / $211.56 / $961.00	Professional		$172.58	$211.56	$961.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.60 / $50.72 / $105.96	Professional	26	$42.60	$50.72	$105.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.07 / $93.07 / $346.50	Professional		$93.07	$93.07	$346.50
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $93.07 / $93.07 / $115.05	Facility	26	$93.07	$93.07	$115.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $155.03 / $315.26 / $520.61	Professional		$155.03	$315.26	$520.61
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.44 / $73.31 / $139.83	Professional	26	$47.44	$73.31	$139.83
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $93.07 / $93.07 / $115.05	Facility	26	$93.07	$93.07	$115.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $220.63 / $346.50 / $563.97	Professional		$220.63	$346.50	$563.97
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $46.97 / $82.65 / $102.13	Professional	26	$46.97	$82.65	$102.13
United Facility/Professional Professional Modifier Low / Median / High Price $200.59 / $225.20 / $395.49	Professional		$200.59	$225.20	$395.49
United Facility/Professional Professional Modifier 26 Low / Median / High Price $50.84 / $64.23 / $112.82	Professional	26	$50.84	$64.23	$112.82