Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $147.91 / $208.93 / $645.65	Facility	26	$147.91	$208.93	$645.65
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $407.38 / $407.38 / $407.38	Facility	26	$407.38	$407.38	$407.38
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Facility	26	$1,071.52	$1,071.52	$1,071.52
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $141.25 / $162.18 / $173.78	Professional	26	$141.25	$162.18	$173.78
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $407.38 / $407.38 / $407.38	Facility	26	$407.38	$407.38	$407.38