Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.77 / $46.77 / $46.77	Facility	26	$46.77	$46.77	$46.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $93.33 / $134.90	Professional		$75.86	$93.33	$134.90
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $32.36 / $51.29	Professional	26	$25.70	$32.36	$51.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $61.66 / $91.20	Professional		$22.39	$61.66	$91.20
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.59 / $35.48 / $51.29	Facility	26	$7.59	$35.48	$51.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $125.89 / $165.96	Professional		$93.33	$125.89	$165.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $45.71 / $60.26	Professional	26	$33.88	$45.71	$60.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $131.83 / $199.53	Professional		$95.50	$131.83	$199.53
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $35.48 / $45.71 / $60.26	Professional	26	$35.48	$45.71	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $134.90 / $181.97	Professional		$91.20	$134.90	$181.97
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.11 / $47.86 / $67.61	Professional	26	$33.11	$47.86	$67.61