Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.26 / $18.26 / $38.40	Facility	26	$18.26	$18.26	$38.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.08 / $166.25 / $203.85	Professional		$57.08	$166.25	$203.85
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.71 / $18.38 / $80.01	Professional	26	$15.71	$18.38	$80.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.03 / $52.65 / $117.65	Professional		$17.03	$52.65	$117.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.09 / $137.32 / $199.13	Professional		$67.09	$137.32	$199.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.50 / $25.39 / $36.61	Professional	26	$19.50	$25.39	$36.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.70 / $32.34 / $91.69	Professional		$28.70	$32.34	$91.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $93.71 / $142.07 / $205.76	Professional		$93.71	$142.07	$205.76
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $19.50 / $25.39 / $35.29	Professional	26	$19.50	$25.39	$35.29
United Facility/Professional Professional Modifier Low / Median / High Price $75.06 / $122.74 / $327.31	Professional		$75.06	$122.74	$327.31
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.51 / $25.98 / $51.11	Professional	26	$17.51	$25.98	$51.11