Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $69.40 / $69.40 / $147.69	Facility	26	$69.40	$69.40	$147.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.71 / $209.52 / $285.00	Professional		$126.71	$209.52	$285.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.34 / $69.40 / $139.60	Professional	26	$49.34	$69.40	$139.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.08 / $119.15 / $261.95	Professional		$56.08	$119.15	$261.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.66 / $289.20 / $411.25	Professional		$156.66	$289.20	$411.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $59.79 / $81.08 / $140.62	Professional	26	$59.79	$81.08	$140.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $88.80 / $205.43	Professional		$32.34	$88.80	$205.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $177.97 / $311.45 / $465.35	Professional		$177.97	$311.45	$465.35
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $59.79 / $81.47 / $136.53	Professional	26	$59.79	$81.47	$136.53
United Facility/Professional Professional Modifier Low / Median / High Price $187.67 / $285.64 / $452.41	Professional		$187.67	$285.64	$452.41
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.78 / $100.33 / $195.64	Professional	26	$54.78	$100.33	$195.64