Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $125.89 / $131.83 / $131.83	Facility	26	$125.89	$131.83	$131.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $208.93 / $891.25	Professional		$141.25	$208.93	$891.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $102.33 / $295.12	Professional	26	$72.44	$102.33	$295.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $144.54	Professional		$144.54	$144.54	$144.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $123.03 / $281.84	Professional		$64.57	$123.03	$281.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $218.78 / $316.23	Professional		$151.36	$218.78	$316.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $112.20 / $162.18	Professional	26	$75.86	$112.20	$162.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $295.12	Professional		$32.36	$33.11	$295.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $281.84 / $407.38	Professional		$151.36	$281.84	$407.38
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $79.43 / $117.49 / $162.18	Professional	26	$79.43	$117.49	$162.18
United Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $213.80 / $371.54	Professional		$181.97	$213.80	$371.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $93.33 / $100.00 / $190.55	Professional	26	$93.33	$100.00	$190.55