Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.26 / $26.26 / $26.26	Facility	26	$26.26	$26.26	$26.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.50 / $94.79 / $105.17	Professional		$80.50	$94.79	$105.17
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.66 / $31.69 / $37.79	Professional	26	$28.66	$31.69	$37.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.37 / $61.33 / $104.18	Professional		$22.37	$61.33	$104.18
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.04 / $36.04 / $36.04	Facility	26	$36.04	$36.04	$36.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.93 / $131.31 / $165.39	Professional		$95.93	$131.31	$165.39
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.11 / $45.98 / $60.74	Professional	26	$34.11	$45.98	$60.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $84.19	Professional		$32.34	$32.34	$84.19
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $36.04 / $36.04 / $36.04	Facility	26	$36.04	$36.04	$36.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $98.57 / $141.00 / $231.40	Professional		$98.57	$141.00	$231.40
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $35.11 / $46.31 / $60.74	Professional	26	$35.11	$46.31	$60.74
United Facility/Professional Professional Modifier Low / Median / High Price $92.88 / $135.00 / $183.18	Professional		$92.88	$135.00	$183.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.21 / $48.46 / $66.87	Professional	26	$34.21	$48.46	$66.87