Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $87.08 / $166.27 / $166.27	Facility	26	$87.08	$166.27	$166.27
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $35.53 / $35.53 / $39.04	Facility	53	$35.53	$35.53	$39.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.27 / $330.43 / $443.47	Professional		$195.27	$330.43	$443.47
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $88.15 / $121.12 / $466.00	Professional	26	$88.15	$121.12	$466.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.41 / $163.22 / $343.58	Professional		$98.41	$163.22	$343.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $262.45 / $373.15 / $528.63	Professional		$262.45	$373.15	$528.63
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $111.70 / $151.85 / $198.28	Professional	26	$111.70	$151.85	$198.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $161.50 / $346.23	Professional		$32.34	$161.50	$346.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $270.74 / $451.84 / $604.79	Professional		$270.74	$451.84	$604.79
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $119.31 / $152.62 / $191.67	Professional	26	$119.31	$152.62	$191.67
United Facility/Professional Professional Modifier Low / Median / High Price $295.44 / $440.51 / $572.01	Professional		$295.44	$440.51	$572.01
United Facility/Professional Professional Modifier 26 Low / Median / High Price $112.60 / $164.22 / $237.00	Professional	26	$112.60	$164.22	$237.00