Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $97.72 / $102.33 / $102.33	Facility	26	$97.72	$102.33	$102.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $562.34 / $1,047.13	Professional		$416.87	$562.34	$1,047.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $97.72 / $177.83	Professional	26	$70.79	$97.72	$177.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $288.40 / $724.44	Professional		$50.12	$288.40	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $501.19 / $870.96	Professional		$363.08	$501.19	$870.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $91.20 / $165.96	Professional	26	$63.10	$91.20	$165.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $478.63	Professional		$32.36	$33.11	$478.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $575.44 / $758.58	Professional		$363.08	$575.44	$758.58
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $102.33 / $165.96	Professional	26	$63.10	$102.33	$165.96
United Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $398.11 / $912.01	Professional		$354.81	$398.11	$912.01
United Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $64.57 / $144.54	Professional	26	$61.66	$64.57	$144.54