Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $125.89 / $125.89 / $125.89	Facility	26	$125.89	$125.89	$125.89
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $117.49 / $239.88	Professional	26	$83.18	$117.49	$239.88
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $70.79 / $109.65	Professional	26	$69.18	$70.79	$109.65
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $87.10 / $147.91	Professional	26	$74.13	$87.10	$147.91
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $208.93 / $389.05 / $389.05	Facility	26	$208.93	$389.05	$389.05
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $85.11 / $186.21	Professional	26	$66.07	$85.11	$186.21
United Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $85.11 / $112.20	Professional	26	$66.07	$85.11	$112.20