Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.87 / $114.67 / $154.57	Professional		$104.87	$114.67	$154.57
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.95 / $62.65 / $106.17	Professional	26	$58.95	$62.65	$106.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.16 / $105.16 / $148.80	Professional		$105.16	$105.16	$148.80
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $105.16 / $105.16 / $130.00	Facility	26	$105.16	$105.16	$130.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.83 / $148.80 / $233.53	Professional		$147.83	$148.80	$233.53
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.66 / $105.16 / $132.13	Professional	26	$66.66	$105.16	$132.13
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $105.16 / $105.16 / $130.00	Facility	26	$105.16	$105.16	$130.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $89.15 / $132.49 / $191.10	Professional		$89.15	$132.49	$191.10
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $66.66 / $105.16 / $132.13	Professional	26	$66.66	$105.16	$132.13
United Facility/Professional Professional Modifier Low / Median / High Price $95.28 / $129.79 / $204.92	Professional		$95.28	$129.79	$204.92
United Facility/Professional Professional Modifier 26 Low / Median / High Price $67.31 / $69.65 / $158.26	Professional	26	$67.31	$69.65	$158.26