Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $125.89 / $173.78 / $724.44	Facility	26	$125.89	$173.78	$724.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $100.00 / $117.49 / $323.59	Professional	26	$100.00	$117.49	$323.59
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $85.11 / $134.90	Professional	26	$85.11	$85.11	$134.90
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $100.00 / $114.82 / $194.98	Professional	26	$100.00	$114.82	$194.98
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $831.76 / $1,071.52 / $1,071.52	Facility	26	$831.76	$1,071.52	$1,071.52
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $109.65 / $1,202.26	Professional	26	$85.11	$109.65	$1,202.26
United Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $102.33 / $144.54	Professional	26	$85.11	$102.33	$144.54