Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $238.92 / $498.96 / $917.86	Facility	26	$238.92	$498.96	$917.86
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $491.93 / $506.69 / $521.45	Facility	26	$491.93	$506.69	$521.45
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $146.94 / $261.13 / $1,368.43	Professional	26	$146.94	$261.13	$1,368.43
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $714.54 / $714.54 / $740.07	Facility	26	$714.54	$714.54	$740.07
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $506.69 / $521.45 / $860.40	Facility	26	$506.69	$521.45	$860.40