Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.30 / $30.30 / $30.30	Facility	26	$30.30	$30.30	$30.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.13 / $81.08 / $142.09	Professional		$70.13	$81.08	$142.09
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.30 / $35.29 / $57.00	Professional	26	$30.30	$35.29	$57.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $67.66 / $67.66 / $67.66	Professional		$67.66	$67.66	$67.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.93 / $57.06 / $120.11	Professional		$33.93	$57.06	$120.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.37 / $116.09 / $158.61	Professional		$86.37	$116.09	$158.61
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.49 / $52.87 / $69.22	Professional	26	$39.49	$52.87	$69.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $51.76 / $114.20	Professional		$32.34	$51.76	$114.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $86.37 / $116.41 / $197.00	Professional		$86.37	$116.41	$197.00
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $37.93 / $52.62 / $69.22	Professional	26	$37.93	$52.62	$69.22
United Facility/Professional Professional Modifier Low / Median / High Price $102.60 / $125.95 / $175.21	Professional		$102.60	$125.95	$175.21
United Facility/Professional Professional Modifier 26 Low / Median / High Price $38.97 / $58.86 / $78.48	Professional	26	$38.97	$58.86	$78.48