Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $260.30 / $527.03 / $527.03	Facility	26	$260.30	$527.03	$527.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.91 / $1,179.63 / $1,875.02	Professional		$758.91	$1,179.63	$1,875.02
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $205.58 / $325.89 / $1,393.00	Professional	26	$205.58	$325.89	$1,393.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $343.82 / $1,075.71 / $1,813.59	Professional		$343.82	$1,075.71	$1,813.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,162.90 / $1,680.80 / $2,171.78	Professional		$1,162.90	$1,680.80	$2,171.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $339.44 / $537.22 / $667.97	Professional	26	$339.44	$537.22	$667.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $513.04 / $1,582.29	Professional		$32.34	$513.04	$1,582.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,288.60 / $1,680.80 / $2,171.78	Professional		$1,288.60	$1,680.80	$2,171.78
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $405.00 / $537.22 / $667.97	Professional	26	$405.00	$537.22	$667.97
United Facility/Professional Professional Modifier Low / Median / High Price $1,488.49 / $1,851.65 / $2,681.10	Professional		$1,488.49	$1,851.65	$2,681.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $460.60 / $562.61 / $785.70	Professional	26	$460.60	$562.61	$785.70