Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.48 / $41.48 / $41.48	Facility	26	$41.48	$41.48	$41.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.90 / $252.81 / $597.04	Professional		$190.90	$252.81	$597.04
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.48 / $58.80 / $131.55	Professional	26	$41.48	$58.80	$131.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.55 / $201.49 / $433.11	Professional		$49.55	$201.49	$433.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $232.70 / $301.23 / $418.89	Professional		$232.70	$301.23	$418.89
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.96 / $71.12 / $99.10	Professional	26	$49.96	$71.12	$99.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $75.59 / $388.87	Professional		$32.34	$75.59	$388.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $238.91 / $354.79 / $561.39	Professional		$238.91	$354.79	$561.39
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $52.30 / $72.66 / $95.01	Professional	26	$52.30	$72.66	$95.01
United Facility/Professional Professional Modifier Low / Median / High Price $242.16 / $342.21 / $505.61	Professional		$242.16	$342.21	$505.61
United Facility/Professional Professional Modifier 26 Low / Median / High Price $55.58 / $84.78 / $124.04	Professional	26	$55.58	$84.78	$124.04