Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.23 / $17.23 / $36.28	Facility	26	$17.23	$17.23	$36.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.56 / $136.72 / $163.93	Professional		$101.56	$136.72	$163.93
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.23 / $23.72 / $29.02	Professional	26	$17.23	$23.72	$29.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $86.40 / $201.56	Professional		$21.88	$86.40	$201.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.93 / $145.47 / $207.89	Professional		$107.93	$145.47	$207.89
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.30 / $31.41 / $43.32	Professional	26	$20.30	$31.41	$43.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.08 / $32.34 / $157.78	Professional		$28.08	$32.34	$157.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $113.80 / $182.80 / $303.99	Professional		$113.80	$182.80	$303.99
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $20.32 / $31.41 / $41.46	Professional	26	$20.32	$31.41	$41.46
United Facility/Professional Professional Modifier Low / Median / High Price $105.36 / $129.91 / $269.39	Professional		$105.36	$129.91	$269.39
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.56 / $24.90 / $55.31	Professional	26	$23.56	$24.90	$55.31