Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $29.79 / $29.79 / $29.79	Facility	26	$29.79	$29.79	$29.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.14 / $66.84 / $144.86	Professional		$58.14	$66.84	$144.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.79 / $40.83 / $87.11	Professional	26	$29.79	$40.83	$87.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.77 / $60.44 / $127.07	Professional		$32.77	$60.44	$127.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.14 / $81.11 / $124.52	Professional		$57.14	$81.11	$124.52
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.83 / $50.81 / $75.67	Professional	26	$36.83	$50.81	$75.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $96.50	Professional		$32.34	$32.34	$96.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $65.70 / $90.34 / $182.08	Professional		$65.70	$90.34	$182.08
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $36.83 / $50.46 / $68.14	Professional	26	$36.83	$50.46	$68.14
United Facility/Professional Professional Modifier Low / Median / High Price $74.23 / $91.63 / $123.82	Professional		$74.23	$91.63	$123.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $42.39 / $56.10 / $75.91	Professional	26	$42.39	$56.10	$75.91