Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.55 / $188.48 / $323.20	Professional		$155.55	$188.48	$323.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.59 / $78.95 / $135.38	Professional	26	$67.59	$78.95	$135.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $118.83 / $118.83 / $277.10	Professional		$118.83	$118.83	$277.10
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $118.83 / $118.83 / $146.90	Facility	26	$118.83	$118.83	$146.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $168.75 / $272.95 / $377.50	Professional		$168.75	$272.95	$377.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $78.90 / $118.83 / $163.22	Professional	26	$78.90	$118.83	$163.22
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $118.83 / $118.83 / $146.90	Facility	26	$118.83	$118.83	$146.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $181.56 / $279.31 / $465.42	Professional		$181.56	$279.31	$465.42
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $92.23 / $118.83 / $133.32	Professional	26	$92.23	$118.83	$133.32
United Facility/Professional Professional Modifier Low / Median / High Price $176.62 / $179.00 / $314.36	Professional		$176.62	$179.00	$314.36
United Facility/Professional Professional Modifier 26 Low / Median / High Price $79.13 / $80.12 / $140.71	Professional	26	$79.13	$80.12	$140.71