Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $101.78 / $148.12 / $257.27	Facility	26	$101.78	$148.12	$257.27
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $90.00 / $101.78 / $125.00	Professional	26	$90.00	$101.78	$125.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $83.81 / $83.81 / $84.17	Professional	26	$83.81	$83.81	$84.17
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $101.09 / $125.90 / $204.00	Professional	26	$101.09	$125.90	$204.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $822.88 / $822.88 / $822.88	Facility	26	$822.88	$822.88	$822.88
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $101.18 / $140.46 / $1,192.32	Professional	26	$101.18	$140.46	$1,192.32
United Facility/Professional Professional Modifier 26 Low / Median / High Price $101.18 / $122.73 / $244.27	Professional	26	$101.18	$122.73	$244.27