Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.23 / $166.25 / $207.10	Professional		$73.23	$166.25	$207.10
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.71 / $24.38 / $80.01	Professional	26	$15.71	$24.38	$80.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.86 / $37.86 / $123.04	Professional		$37.86	$37.86	$123.04
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.86 / $37.86 / $46.80	Facility	26	$37.86	$37.86	$46.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.23 / $141.63 / $197.88	Professional		$114.23	$141.63	$197.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.55 / $27.26 / $59.35	Professional	26	$17.55	$27.26	$59.35
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $37.86 / $37.86 / $46.80	Facility	26	$37.86	$37.86	$46.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $75.55 / $136.38 / $202.76	Professional		$75.55	$136.38	$202.76
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $17.64 / $29.68 / $41.54	Professional	26	$17.64	$29.68	$41.54
United Facility/Professional Professional Modifier Low / Median / High Price $75.06 / $122.73 / $368.78	Professional		$75.06	$122.73	$368.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.89 / $25.98 / $45.63	Professional	26	$17.89	$25.98	$45.63