Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $131.44 / $263.55 / $486.51	Facility	26	$131.44	$263.55	$486.51
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $256.92 / $264.63 / $272.33	Facility	26	$256.92	$264.63	$272.33
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $75.91 / $124.49 / $263.88	Professional	26	$75.91	$124.49	$263.88
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $593.12 / $767.44 / $767.44	Facility	26	$593.12	$767.44	$767.44
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $264.63 / $272.33 / $455.16	Facility	26	$264.63	$272.33	$455.16