Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.37 / $183.31 / $1,427.00	Professional		$149.37	$183.31	$1,427.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.96 / $41.40 / $205.00	Professional	26	$34.96	$41.40	$205.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.36 / $58.36 / $424.85	Professional		$58.36	$58.36	$424.85
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.36 / $58.36 / $72.15	Facility	26	$58.36	$58.36	$72.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $187.67 / $424.85 / $827.34	Professional		$187.67	$424.85	$827.34
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.11 / $58.36 / $110.95	Professional	26	$40.11	$58.36	$110.95
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $58.36 / $58.36 / $72.15	Facility	26	$58.36	$58.36	$72.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $263.73 / $379.93 / $514.99	Professional		$263.73	$379.93	$514.99
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $40.36 / $58.36 / $75.66	Professional	26	$40.36	$58.36	$75.66
United Facility/Professional Professional Modifier Low / Median / High Price $139.47 / $260.13 / $537.46	Professional		$139.47	$260.13	$537.46
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.75 / $35.74 / $69.72	Professional	26	$33.75	$35.74	$69.72