Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $79.41 / $93.72 / $456.09	Facility	26	$79.41	$93.72	$456.09
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $79.05 / $79.05 / $127.75	Facility	26	$79.05	$79.05	$127.75
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $593.12 / $767.44 / $767.44	Facility	26	$593.12	$767.44	$767.44