Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $125.00 / $125.00 / $142.40	Facility	26	$125.00	$125.00	$142.40
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.56 / $128.59 / $265.00	Professional	26	$85.56	$128.59	$265.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $158.91 / $191.07 / $209.48	Professional	26	$158.91	$191.07	$209.48
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $110.49 / $156.06 / $210.16	Professional	26	$110.49	$156.06	$210.16
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $99.42 / $171.73 / $2,660.92	Professional	26	$99.42	$171.73	$2,660.92
United Facility/Professional Professional Modifier 26 Low / Median / High Price $84.34 / $162.68 / $218.77	Professional	26	$84.34	$162.68	$218.77