Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $216.27 / $451.03 / $829.86	Facility	26	$216.27	$451.03	$829.86
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $524.75 / $540.49 / $556.24	Facility	26	$524.75	$540.49	$556.24
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $139.34 / $245.88 / $565.52	Professional	26	$139.34	$245.88	$565.52
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $665.92 / $681.22 / $681.22	Facility	26	$665.92	$681.22	$681.22
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $540.49 / $556.24 / $842.34	Facility	26	$540.49	$556.24	$842.34