Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.84 / $45.84 / $45.84	Facility	26	$45.84	$45.84	$45.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $279.02 / $327.49 / $637.55	Professional		$279.02	$327.49	$637.55
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.84 / $53.94 / $96.13	Professional	26	$45.84	$53.94	$96.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $208.58 / $288.72 / $320.41	Professional		$208.58	$288.72	$320.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.45 / $185.88 / $382.60	Professional		$52.45	$185.88	$382.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $300.47 / $465.72 / $679.31	Professional		$300.47	$465.72	$679.31
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.03 / $81.33 / $116.43	Professional	26	$61.03	$81.33	$116.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $80.01 / $475.21	Professional		$32.34	$80.01	$475.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $345.54 / $483.10 / $773.73	Professional		$345.54	$483.10	$773.73
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $61.03 / $77.20 / $101.11	Professional	26	$61.03	$77.20	$101.11
United Facility/Professional Professional Modifier Low / Median / High Price $306.43 / $512.72 / $808.23	Professional		$306.43	$512.72	$808.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $67.05 / $86.93 / $132.85	Professional	26	$67.05	$86.93	$132.85