Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $140.38 / $339.63 / $424.51	Facility	26	$140.38	$339.63	$424.51
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $114.94 / $114.94 / $114.94	Facility	26	$114.94	$114.94	$114.94
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $455.64 / $455.64 / $455.64	Facility	26	$455.64	$455.64	$455.64