Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $102.66 / $151.62 / $260.05	Facility	26	$102.66	$151.62	$260.05
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $90.00 / $100.00 / $125.00	Professional	26	$90.00	$100.00	$125.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $84.61 / $84.61 / $195.66	Professional	26	$84.61	$84.61	$195.66
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $101.76 / $129.22 / $209.00	Professional	26	$101.76	$129.22	$209.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $827.12 / $827.12 / $827.12	Facility	26	$827.12	$827.12	$827.12
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $103.45 / $134.97 / $1,192.32	Professional	26	$103.45	$134.97	$1,192.32
United Facility/Professional Professional Modifier 26 Low / Median / High Price $103.45 / $125.27 / $246.72	Professional	26	$103.45	$125.27	$246.72