Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $291.39 / $590.08 / $590.08	Facility	26	$291.39	$590.08	$590.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $843.19 / $1,260.18 / $1,918.96	Professional		$843.19	$1,260.18	$1,918.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $230.14 / $363.17 / $1,460.00	Professional	26	$230.14	$363.17	$1,460.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $383.05 / $1,152.01 / $2,012.16	Professional		$383.05	$1,152.01	$2,012.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,291.69 / $1,800.01 / $2,323.69	Professional		$1,291.69	$1,800.01	$2,323.69
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $380.02 / $598.52 / $743.42	Professional	26	$380.02	$598.52	$743.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $575.41 / $1,756.19	Professional		$32.34	$575.41	$1,756.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,380.01 / $1,800.01 / $2,323.69	Professional		$1,380.01	$1,800.01	$2,323.69
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $453.46 / $598.52 / $743.42	Professional	26	$453.46	$598.52	$743.42
United Facility/Professional Professional Modifier Low / Median / High Price $1,578.10 / $2,014.64 / $2,642.39	Professional		$1,578.10	$2,014.64	$2,642.39
United Facility/Professional Professional Modifier 26 Low / Median / High Price $515.59 / $629.29 / $878.84	Professional	26	$515.59	$629.29	$878.84