Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $72.44 / $138.04	Facility		$36.31	$72.44	$138.04
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.88 / $67.61 / $128.82	Facility	26	$33.88	$67.61	$128.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $47.86 / $338.84	Professional		$16.98	$47.86	$338.84
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $51.29 / $141.25	Professional	26	$18.20	$51.29	$141.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $56,234.13 / $69,183.10 / $81,283.05	Facility		$56,234.13	$69,183.10	$81,283.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $42.66 / $61.66	Professional		$32.36	$42.66	$61.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.04 / $2.04 / $2.04	Facility		$2.04	$2.04	$2.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $43.65	Professional		$43.65	$43.65	$43.65
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $40.74 / $40.74	Professional	26	$40.74	$40.74	$40.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $70.79	Professional		$32.36	$33.11	$70.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $39.81 / $154.88	Facility		$17.78	$39.81	$154.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $107.15	Professional		$43.65	$43.65	$107.15
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $40.74 / $91.20	Professional	26	$33.88	$40.74	$91.20
United Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $28.84 / $37.15	Professional		$19.05	$28.84	$37.15
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $28.84 / $37.15	Professional	26	$19.05	$28.84	$37.15