Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $95.07 / $95.07 / $108.86	Facility	26	$95.07	$95.07	$108.86
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $100.40 / $100.40 / $100.40	Facility	26	$100.40	$100.40	$100.40
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $204.35 / $396.63 / $396.63	Facility	26	$204.35	$396.63	$396.63