Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.64 / $53.64 / $53.64	Facility	26	$53.64	$53.64	$53.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.83 / $122.90 / $317.52	Professional		$92.83	$122.90	$317.52
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.64 / $63.11 / $109.35	Professional	26	$53.64	$63.11	$109.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.37 / $80.81 / $155.71	Professional		$46.37	$80.81	$155.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.56 / $163.66 / $231.36	Professional		$120.56	$163.66	$231.36
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.89 / $94.36 / $136.08	Professional	26	$70.89	$94.36	$136.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $63.01 / $155.83	Professional		$32.34	$63.01	$155.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $120.56 / $174.95 / $266.97	Professional		$120.56	$174.95	$266.97
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $66.52 / $92.59 / $121.16	Professional	26	$66.52	$92.59	$121.16
United Facility/Professional Professional Modifier Low / Median / High Price $154.35 / $188.65 / $270.97	Professional		$154.35	$188.65	$270.97
United Facility/Professional Professional Modifier 26 Low / Median / High Price $84.04 / $105.05 / $155.52	Professional	26	$84.04	$105.05	$155.52