Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.66 / $61.66 / $389.05	Facility	26	$61.66	$61.66	$389.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $79.43 / $147.91	Professional		$61.66	$79.43	$147.91
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $44.67 / $204.17	Professional	26	$38.02	$44.67	$204.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $57.54 / $131.83	Professional		$28.84	$57.54	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $93.33 / $138.04	Professional		$63.10	$93.33	$138.04
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $58.88 / $91.20	Professional	26	$42.66	$58.88	$91.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $87.10	Professional		$32.36	$33.11	$87.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $91.20 / $147.91	Professional		$66.07	$91.20	$147.91
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $57.54 / $77.62	Professional	26	$42.66	$57.54	$77.62
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $97.72 / $134.90	Professional		$74.13	$97.72	$134.90
United Facility/Professional Professional Modifier 26 Low / Median / High Price $44.67 / $63.10 / $81.28	Professional	26	$44.67	$63.10	$81.28