Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $79.43 / $79.43 / $79.43	Facility	26	$79.43	$79.43	$79.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $239.88 / $602.56	Professional		$181.97	$239.88	$602.56
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $51.29 / $131.83	Professional	26	$38.02	$51.29	$131.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $199.53 / $426.58	Professional		$48.98	$199.53	$426.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $302.00 / $416.87	Professional		$190.55	$302.00	$416.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $69.18 / $100.00	Professional	26	$45.71	$69.18	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $380.19	Professional		$32.36	$33.11	$380.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $338.84 / $575.44	Professional		$208.93	$338.84	$575.44
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $70.79 / $100.00	Professional	26	$45.71	$70.79	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $338.84 / $478.63	Professional		$239.88	$338.84	$478.63
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $81.28 / $112.20	Professional	26	$54.95	$81.28	$112.20