Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $120.23 / $134.90 / $169.82	Facility	26	$120.23	$134.90	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $162.18 / $416.87	Professional		$114.82	$162.18	$416.87
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $89.13 / $213.80	Professional	26	$67.61	$89.13	$213.80
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $61.66 / $61.66	Professional	26	$61.66	$61.66	$61.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $114.82 / $239.88	Professional		$79.43	$114.82	$239.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $281.84 / $537.03	Professional		$138.04	$281.84	$537.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $112.20 / $169.82	Professional	26	$77.62	$112.20	$169.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $181.97	Professional		$32.36	$33.11	$181.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $295.12 / $426.58	Professional		$194.98	$295.12	$426.58
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $123.03 / $162.18	Professional	26	$81.28	$123.03	$162.18
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $316.23 / $489.78	Professional		$173.78	$316.23	$489.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $89.13 / $100.00 / $190.55	Professional	26	$89.13	$100.00	$190.55