Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $144.90 / $721.62 / $1,216.33	Facility	26	$144.90	$721.62	$1,216.33
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $842.34 / $842.34 / $842.34	Facility	26	$842.34	$842.34	$842.34
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $681.22 / $681.22 / $681.22	Facility	26	$681.22	$681.22	$681.22
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $540.49 / $556.24 / $842.34	Facility	26	$540.49	$556.24	$842.34