Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.46 / $200.14 / $337.35	Facility	26	$37.46	$200.14	$337.35
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $214.08 / $214.08 / $214.08	Facility	26	$214.08	$214.08	$214.08
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $175.59 / $175.59 / $175.59	Facility	26	$175.59	$175.59	$175.59
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $124.59 / $128.22 / $214.08	Facility	26	$124.59	$128.22	$214.08