Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $67.61 / $70.79 / $70.79	Facility	26	$67.61	$70.79	$70.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $112.20 / $269.15	Professional		$75.86	$112.20	$269.15
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.90 / $46.77 / $120.23	Professional	26	$30.90	$46.77	$120.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $74.13 / $125.89	Professional		$35.48	$74.13	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $141.25 / $229.09	Professional		$91.20	$141.25	$229.09
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.11 / $48.98 / $79.43	Professional	26	$33.11	$48.98	$79.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $125.89	Professional		$32.36	$33.11	$125.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $186.21 / $263.03	Professional		$97.72	$186.21	$263.03
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $48.98 / $72.44	Professional	26	$34.67	$48.98	$72.44
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $117.49 / $213.80	Professional		$107.15	$117.49	$213.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $36.31 / $69.18	Professional	26	$34.67	$36.31	$69.18