Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $103.55 / $128.87 / $134.03	Facility	26	$103.55	$128.87	$134.03
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $182.81 / $182.81 / $209.02	Facility	26	$182.81	$182.81	$209.02
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $896.96 / $1,169.20 / $1,169.20	Facility	26	$896.96	$1,169.20	$1,169.20