Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $49.06 / $49.06 / $103.76	Facility	26	$49.06	$49.06	$103.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $260.01 / $416.86 / $2,171.67	Professional		$260.01	$416.86	$2,171.67
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.06 / $83.01 / $386.10	Professional	26	$49.06	$83.01	$386.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.82 / $229.68 / $504.99	Professional		$60.82	$229.68	$504.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $345.58 / $490.11 / $668.36	Professional		$345.58	$490.11	$668.36
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $73.91 / $95.80 / $126.37	Professional	26	$73.91	$95.80	$126.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $99.45 / $484.09	Professional		$32.34	$99.45	$484.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $287.67 / $542.62 / $668.36	Professional		$287.67	$542.62	$668.36
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $73.91 / $106.07 / $126.37	Professional	26	$73.91	$106.07	$126.37
United Facility/Professional Professional Modifier Low / Median / High Price $271.85 / $321.58 / $738.94	Professional		$271.85	$321.58	$738.94
United Facility/Professional Professional Modifier 26 Low / Median / High Price $56.96 / $61.31 / $135.82	Professional	26	$56.96	$61.31	$135.82