Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $375.00 / $375.00 / $375.00	Facility	26	$375.00	$375.00	$375.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $83.87 / $265.00 / $375.00	Professional	26	$83.87	$265.00	$375.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $77.86 / $111.00 / $169.21	Professional	26	$77.86	$111.00	$169.21
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $92.03 / $116.52 / $214.72	Professional	26	$92.03	$116.52	$214.72
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $127.00 / $163.00 / $294.20	Facility	26	$127.00	$163.00	$294.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $83.99 / $107.44 / $178.30	Professional	26	$83.99	$107.44	$178.30