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 $89.29 / $375.00 / $375.00	Professional	26	$89.29	$375.00	$375.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $83.44 / $100.41 / $161.07	Professional	26	$83.44	$100.41	$161.07
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $89.09 / $116.69 / $230.62	Professional	26	$89.09	$116.69	$230.62
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $138.59 / $175.00 / $289.44	Facility	26	$138.59	$175.00	$289.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $85.43 / $105.46 / $190.33	Professional	26	$85.43	$105.46	$190.33