Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $87.10 / $169.82 / $194.98	Facility	26	$87.10	$169.82	$194.98
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $87.10 / $117.49 / $169.82	Professional	26	$87.10	$117.49	$169.82
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $93.33 / $141.25	Professional	26	$66.07	$93.33	$141.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $93.33 / $158.49	Professional	26	$77.62	$93.33	$158.49
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $208.93 / $208.93 / $208.93	Facility	26	$208.93	$208.93	$208.93
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $100.00 / $549.54	Professional	26	$85.11	$100.00	$549.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $79.43 / $93.33 / $141.25	Professional	26	$79.43	$93.33	$141.25