Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.48 / $35.48 / $104.71	Facility	26	$35.48	$35.48	$104.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $138.04 / $223.87	Professional		$114.82	$138.04	$223.87
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $23.99 / $35.48	Professional	26	$19.95	$23.99	$35.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $100.00 / $154.88	Professional		$16.98	$100.00	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $186.21 / $257.04	Professional		$141.25	$186.21	$257.04
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $30.90 / $43.65	Professional	26	$22.91	$30.90	$43.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $199.53	Professional		$32.36	$33.11	$199.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $218.78 / $346.74	Professional		$141.25	$218.78	$346.74
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $33.88 / $44.67	Professional	26	$22.91	$33.88	$44.67
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $229.09 / $309.03	Professional		$158.49	$229.09	$309.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $38.02 / $50.12	Professional	26	$25.70	$38.02	$50.12