Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.76 / $71.76 / $137.46	Facility		$36.76	$71.76	$137.46
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.57 / $67.44 / $128.40	Facility	26	$34.57	$67.44	$128.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.66 / $36.76 / $77.50	Professional		$15.66	$36.76	$77.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.66 / $34.57 / $103.20	Professional	26	$15.66	$34.57	$103.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $56,799.99 / $68,899.99 / $81,099.99	Facility		$56,799.99	$68,899.99	$81,099.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.28 / $42.98 / $62.27	Professional		$18.28	$42.98	$62.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.02 / $2.02 / $2.02	Facility		$2.02	$2.02	$2.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.45 / $43.45 / $43.45	Professional		$43.45	$43.45	$43.45
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.47 / $40.47 / $40.47	Professional	26	$40.47	$40.47	$40.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.92 / $69.76 / $74.69	Professional		$4.92	$69.76	$74.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $2.02 / $17.92 / $20.97	Facility		$2.02	$17.92	$20.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $43.45 / $58.01 / $2,400,000.00	Professional		$43.45	$58.01	$2,400,000.00
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $33.54 / $40.47 / $56.69	Professional	26	$33.54	$40.47	$56.69
United Facility/Professional Professional Modifier Low / Median / High Price $19.14 / $30.27 / $43.47	Professional		$19.14	$30.27	$43.47
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.13 / $30.25 / $39.60	Professional	26	$19.13	$30.25	$39.60