Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $29.51 / $29.51 / $29.51	Facility	26	$29.51	$29.51	$29.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $81.28 / $213.80	Professional		$57.54	$81.28	$213.80
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $19.95 / $61.66	Professional	26	$16.98	$19.95	$61.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Professional		$66.07	$66.07	$66.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $28.18 / $67.61	Professional		$13.49	$28.18	$67.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $83.18 / $269.15	Professional		$53.70	$83.18	$269.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.49 / $26.92 / $64.57	Professional	26	$15.49	$26.92	$64.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $75.86	Professional		$32.36	$33.11	$75.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $91.20 / $177.83	Professional		$54.95	$91.20	$177.83
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $15.49 / $26.30 / $35.48	Professional	26	$15.49	$26.30	$35.48
United Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $89.13 / $141.25	Professional		$50.12	$89.13	$141.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $28.18 / $38.02	Professional	26	$19.95	$28.18	$38.02