Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $56.60 / $56.60 / $118.43	Facility	26	$56.60	$56.60	$118.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.63 / $183.11 / $880.00	Professional		$129.63	$183.11	$880.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.60 / $78.43 / $180.63	Professional	26	$56.60	$78.43	$180.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.13 / $139.80 / $305.60	Professional		$63.13	$139.80	$305.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.22 / $216.78 / $300.16	Professional		$147.22	$216.78	$300.16
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $65.13 / $97.75 / $135.34	Professional	26	$65.13	$97.75	$135.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $90.96 / $198.87	Professional		$32.34	$90.96	$198.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $151.50 / $266.39 / $395.65	Professional		$151.50	$266.39	$395.65
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $67.29 / $106.23 / $135.34	Professional	26	$67.29	$106.23	$135.34
United Facility/Professional Professional Modifier Low / Median / High Price $176.66 / $179.06 / $352.15	Professional		$176.66	$179.06	$352.15
United Facility/Professional Professional Modifier 26 Low / Median / High Price $78.15 / $82.13 / $176.17	Professional	26	$78.15	$82.13	$176.17