Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.67 / $22.67 / $22.67	Facility	26	$22.67	$22.67	$22.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.02 / $53.64 / $216.72	Professional		$46.02	$53.64	$216.72
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.67 / $27.78 / $51.15	Professional	26	$22.67	$27.78	$51.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.99 / $56.33 / $267.86	Professional		$27.99	$56.33	$267.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.04 / $158.02 / $158.02	Professional		$63.04	$158.02	$158.02
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.27 / $28.27 / $37.20	Professional	26	$28.27	$28.27	$37.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.84 / $32.34 / $208.87	Professional		$30.84	$32.34	$208.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $158.02 / $158.02 / $158.02	Professional		$158.02	$158.02	$158.02
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $28.27 / $28.27 / $28.27	Professional	26	$28.27	$28.27	$28.27
United Facility/Professional Professional Modifier Low / Median / High Price $73.48 / $89.14 / $191.99	Professional		$73.48	$89.14	$191.99
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.58 / $38.88 / $67.15	Professional	26	$34.58	$38.88	$67.15