Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $102.33 / $147.91 / $257.04	Facility	26	$102.33	$147.91	$257.04
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $100.00 / $125.89 / $331.13	Professional	26	$100.00	$125.89	$331.13
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $123.03 / $194.98	Professional	26	$85.11	$123.03	$194.98
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $102.33 / $125.89 / $213.80	Professional	26	$102.33	$125.89	$213.80
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $831.76 / $831.76 / $831.76	Facility	26	$831.76	$831.76	$831.76
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $102.33 / $134.90 / $1,202.26	Professional	26	$102.33	$134.90	$1,202.26
United Facility/Professional Professional Modifier 26 Low / Median / High Price $102.33 / $123.03 / $194.98	Professional	26	$102.33	$123.03	$194.98