Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $149.22 / $392.79 / $723.02	Facility	26	$149.22	$392.79	$723.02
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $387.72 / $399.35 / $410.98	Facility	26	$387.72	$399.35	$410.98
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $110.40 / $161.57 / $495.91	Professional	26	$110.40	$161.57	$495.91
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $280.44 / $535.50 / $535.50	Facility	26	$280.44	$535.50	$535.50
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $399.35 / $410.98 / $657.54	Facility	26	$399.35	$410.98	$657.54