Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.93 / $65.20 / $123.67	Professional		$64.93	$65.20	$123.67
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.25 / $43.31 / $75.84	Professional	26	$42.25	$43.31	$75.84
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $63.62 / $63.62 / $75.63	Facility	26	$63.62	$63.62	$75.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.26 / $106.95 / $169.80	Professional		$71.26	$106.95	$169.80
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.21 / $61.90 / $97.33	Professional	26	$45.21	$61.90	$97.33
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $63.62 / $63.62 / $75.63	Facility	26	$63.62	$63.62	$75.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $74.41 / $111.62 / $187.58	Professional		$74.41	$111.62	$187.58
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $38.43 / $57.26 / $93.04	Professional	26	$38.43	$57.26	$93.04
United Facility/Professional Professional Modifier Low / Median / High Price $104.04 / $118.32 / $134.63	Professional		$104.04	$118.32	$134.63
United Facility/Professional Professional Modifier 26 Low / Median / High Price $62.73 / $72.56 / $83.82	Professional	26	$62.73	$72.56	$83.82