Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $143.12 / $143.12 / $316.29	Facility	26	$143.12	$143.12	$316.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $424.31 / $617.88 / $1,095.44	Professional		$424.31	$617.88	$1,095.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $143.12 / $185.90 / $318.74	Professional	26	$143.12	$185.90	$318.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $183.44 / $415.20 / $1,044.78	Professional		$183.44	$415.20	$1,044.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $632.67 / $844.80 / $1,029.21	Professional		$632.67	$844.80	$1,029.21
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $213.90 / $288.30 / $353.21	Professional	26	$213.90	$288.30	$353.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $235.23 / $677.19	Professional		$32.34	$235.23	$677.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $632.67 / $844.80 / $1,029.21	Professional		$632.67	$844.80	$1,029.21
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $213.90 / $288.30 / $353.21	Professional	26	$213.90	$288.30	$353.21
United Facility/Professional Professional Modifier Low / Median / High Price $754.96 / $765.55 / $1,194.25	Professional		$754.96	$765.55	$1,194.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $248.53 / $257.14 / $401.13	Professional	26	$248.53	$257.14	$401.13