Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.18 / $120.23 / $169.82	Facility	26	$28.18	$120.23	$169.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $100.00 / $151.36	Professional	26	$28.18	$100.00	$151.36
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $31.62 / $46.77	Professional	26	$21.88	$31.62	$46.77
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $30.90 / $53.70	Professional	26	$25.70	$30.90	$53.70
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $69.18 / $69.18 / $69.18	Facility	26	$69.18	$69.18	$69.18
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $33.88 / $181.97	Professional	26	$28.18	$33.88	$181.97
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.92 / $31.62 / $46.77	Professional	26	$26.92	$31.62	$46.77