Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $69.22 / $69.22 / $150.19	Facility	26	$69.22	$69.22	$150.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.46 / $225.80 / $275.14	Professional		$117.46	$225.80	$275.14
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $69.22 / $82.56 / $155.74	Professional	26	$69.22	$82.56	$155.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.04 / $145.28 / $243.46	Professional		$84.04	$145.28	$243.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.02 / $302.56 / $455.40	Professional		$144.02	$302.56	$455.40
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $80.84 / $115.51 / $163.26	Professional	26	$80.84	$115.51	$163.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $73.15 / $188.98	Professional		$32.34	$73.15	$188.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $193.64 / $314.66 / $433.13	Professional		$193.64	$314.66	$433.13
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $81.36 / $123.97 / $163.26	Professional	26	$81.36	$123.97	$163.26
United Facility/Professional Professional Modifier Low / Median / High Price $173.59 / $317.02 / $434.69	Professional		$173.59	$317.02	$434.69
United Facility/Professional Professional Modifier 26 Low / Median / High Price $89.07 / $99.97 / $196.72	Professional	26	$89.07	$99.97	$196.72