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 $89.82 / $375.00 / $375.00	Professional	26	$89.82	$375.00	$375.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $85.12 / $102.43 / $168.15	Professional	26	$85.12	$102.43	$168.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $92.41 / $121.10 / $233.09	Professional	26	$92.41	$121.10	$233.09
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $164.78 / $175.00 / $337.09	Facility	26	$164.78	$175.00	$337.09
United Facility/Professional Professional Modifier 26 Low / Median / High Price $89.19 / $117.49 / $191.93	Professional	26	$89.19	$117.49	$191.93