Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $49.51 / $49.51 / $103.41	Facility	26	$49.51	$49.51	$103.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.50 / $114.67 / $126.13	Professional		$59.50	$114.67	$126.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.43 / $62.65 / $85.94	Professional	26	$42.43	$62.65	$85.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.17 / $87.21 / $167.27	Professional		$62.17	$87.21	$167.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.16 / $158.18 / $189.42	Professional		$81.16	$158.18	$189.42
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.80 / $101.07 / $124.25	Professional	26	$58.80	$101.07	$124.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.85 / $65.33 / $144.11	Professional		$24.85	$65.33	$144.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $80.95 / $161.88 / $189.42	Professional		$80.95	$161.88	$189.42
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $59.09 / $101.07 / $124.25	Professional	26	$59.09	$101.07	$124.25
United Facility/Professional Professional Modifier Low / Median / High Price $95.28 / $148.96 / $214.71	Professional		$95.28	$148.96	$214.71
United Facility/Professional Professional Modifier 26 Low / Median / High Price $68.19 / $69.65 / $151.66	Professional	26	$68.19	$69.65	$151.66