Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $162.18 / $162.18 / $831.76	Facility	26	$162.18	$162.18	$831.76
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $489.78 / $501.19 / $524.81	Facility	26	$489.78	$501.19	$524.81
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $147.91 / $275.42 / $1,548.82	Professional	26	$147.91	$275.42	$1,548.82
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $707.95 / $707.95 / $741.31	Facility	26	$707.95	$707.95	$741.31
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $309.03 / $363.08 / $478.63	Professional	26	$309.03	$363.08	$478.63
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $524.81 / $524.81 / $524.81	Facility	26	$524.81	$524.81	$524.81