Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $89.82 / $110.00 / $155.38	Facility	26	$89.82	$110.00	$155.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $89.82 / $94.99 / $265.00	Professional	26	$89.82	$94.99	$265.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $217.68 / $217.68 / $217.68	Professional	26	$217.68	$217.68	$217.68
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $104.54 / $104.54 / $104.54	Facility	26	$104.54	$104.54	$104.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $103.33 / $170.38 / $270.54	Professional	26	$103.33	$170.38	$270.54
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $145.72 / $153.00 / $275.20	Facility	26	$145.72	$153.00	$275.20
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $145.72 / $145.72 / $145.72	Professional	26	$145.72	$145.72	$145.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $93.39 / $120.21 / $256.55	Professional	26	$93.39	$120.21	$256.55
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $830.48 / $960.00 / $960.00	Facility	26	$830.48	$960.00	$960.00
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $1,192.32 / $1,503.99 / $1,503.99	Professional	26	$1,192.32	$1,503.99	$1,503.99