Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $762.75 / $1,892.60 / $2,774.02	Facility	26	$762.75	$1,892.60	$2,774.02
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $1,482.02 / $1,482.02 / $1,482.02	Facility	26	$1,482.02	$1,482.02	$1,482.02
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $1,289.18 / $1,326.73 / $1,711.08	Facility	26	$1,289.18	$1,326.73	$1,711.08