Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $123.03 / $223.87 / $245.47	Facility	26	$123.03	$223.87	$245.47
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $107.15 / $147.91	Professional	26	$85.11	$107.15	$147.91
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $81.28 / $83.18	Professional	26	$81.28	$81.28	$83.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $100.00 / $147.91 / $204.17	Professional	26	$100.00	$147.91	$204.17
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $257.04 / $257.04 / $257.04	Facility	26	$257.04	$257.04	$257.04
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $109.65 / $138.04 / $676.08	Professional	26	$109.65	$138.04	$676.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $109.65 / $128.82 / $190.55	Professional	26	$109.65	$128.82	$190.55