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 $22.92 / $22.92 / $22.92	Professional	26	$22.92	$22.92	$22.92
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.88 / $29.18 / $49.15	Professional	26	$25.88	$29.18	$49.15
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $68.92 / $130.19 / $130.19	Facility	26	$68.92	$130.19	$130.19
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $22.23 / $28.35 / $62.76	Professional	26	$22.23	$28.35	$62.76
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.23 / $28.35 / $47.64	Professional	26	$22.23	$28.35	$47.64