Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.22 / $164.26 / $322.00	Professional		$113.22	$164.26	$322.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.61 / $44.74 / $204.00	Professional	26	$34.61	$44.74	$204.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.10 / $74.47 / $193.00	Professional		$34.10	$74.47	$193.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.01 / $135.08 / $163.08	Professional		$72.01	$135.08	$163.08
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.54 / $42.89 / $62.48	Professional	26	$31.54	$42.89	$62.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $53.75 / $223.18	Professional		$32.34	$53.75	$223.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $115.07 / $195.81 / $388.68	Professional		$115.07	$195.81	$388.68
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $37.19 / $42.89 / $56.22	Professional	26	$37.19	$42.89	$56.22
United Facility/Professional Professional Modifier Low / Median / High Price $62.31 / $84.23 / $224.62	Professional		$62.31	$84.23	$224.62
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.80 / $24.25 / $64.67	Professional	26	$20.80	$24.25	$64.67