Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $125.00 / $125.00 / $125.00	Facility	26	$125.00	$125.00	$125.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $100.00 / $118.75 / $200.00	Professional	26	$100.00	$118.75	$200.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $69.04 / $69.04 / $69.04	Professional	26	$69.04	$69.04	$69.04
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $77.81 / $86.96 / $146.46	Professional	26	$77.81	$86.96	$146.46
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $207.94 / $392.09 / $392.09	Facility	26	$207.94	$392.09	$392.09
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $66.19 / $84.39 / $186.83	Professional	26	$66.19	$84.39	$186.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $66.19 / $84.39 / $113.46	Professional	26	$66.19	$84.39	$113.46