Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $72.44 / $72.44 / $138.04	Facility	26	$72.44	$72.44	$138.04
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $114.82 / $114.82 / $138.04	Facility	26	$114.82	$114.82	$138.04
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $204.17 / $389.05 / $389.05	Facility	26	$204.17	$389.05	$389.05