Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.99 / $66.28 / $168.00	Facility	26	$28.99	$66.28	$168.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.17 / $100.00 / $125.00	Professional	26	$26.17	$100.00	$125.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $33.60 / $45.31 / $45.31	Professional	26	$33.60	$45.31	$45.31
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.89 / $32.04 / $50.32	Professional	26	$25.89	$32.04	$50.32
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $68.92 / $68.92 / $68.92	Facility	26	$68.92	$68.92	$68.92
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $28.23 / $33.71 / $183.60	Professional	26	$28.23	$33.71	$183.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.76 / $31.76 / $63.84	Professional	26	$25.76	$31.76	$63.84