Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $475.00 / $522.50 / $895.94	Professional		$475.00	$522.50	$895.94
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $73.00 / $140.00 / $154.00	Professional	26	$73.00	$140.00	$154.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.89 / $109.89 / $671.45	Professional		$109.89	$109.89	$671.45
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $109.89 / $109.89 / $135.85	Facility	26	$109.89	$109.89	$135.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $476.27 / $670.92 / $788.92	Professional		$476.27	$670.92	$788.92
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $73.95 / $109.89 / $148.16	Professional	26	$73.95	$109.89	$148.16
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $109.89 / $109.89 / $135.85	Facility	26	$109.89	$109.89	$135.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $416.61 / $622.64 / $898.10	Professional		$416.61	$622.64	$898.10
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $73.95 / $109.89 / $148.16	Professional	26	$73.95	$109.89	$148.16
United Facility/Professional Professional Modifier Low / Median / High Price $354.42 / $401.85 / $1,074.19	Professional		$354.42	$401.85	$1,074.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $63.50 / $65.13 / $169.75	Professional	26	$63.50	$65.13	$169.75