Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.86 / $331.86 / $2,171.67	Professional		$331.86	$331.86	$2,171.67
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $59.90 / $59.90 / $386.10	Professional	26	$59.90	$59.90	$386.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.95 / $100.95 / $532.64	Professional		$100.95	$100.95	$532.64
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $100.95 / $100.95 / $124.80	Facility	26	$100.95	$100.95	$124.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $270.23 / $532.64 / $1,035.77	Professional		$270.23	$532.64	$1,035.77
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $68.08 / $100.95 / $191.95	Professional	26	$68.08	$100.95	$191.95
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $100.95 / $100.95 / $124.80	Facility	26	$100.95	$100.95	$124.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $329.45 / $479.84 / $650.17	Professional		$329.45	$479.84	$650.17
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $68.55 / $100.95 / $133.43	Professional	26	$68.55	$100.95	$133.43
United Facility/Professional Professional Modifier Low / Median / High Price $322.10 / $322.29 / $665.49	Professional		$322.10	$322.29	$665.49
United Facility/Professional Professional Modifier 26 Low / Median / High Price $59.20 / $61.43 / $122.32	Professional	26	$59.20	$61.43	$122.32