Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $103.59 / $203.38 / $375.91	Facility	26	$103.59	$203.38	$375.91
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $198.29 / $204.24 / $210.19	Facility	26	$198.29	$204.24	$210.19
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $61.03 / $98.77 / $216.42	Professional	26	$61.03	$98.77	$216.42
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $152.38 / $296.70 / $296.70	Facility	26	$152.38	$296.70	$296.70
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $204.24 / $210.19 / $359.76	Facility	26	$204.24	$210.19	$359.76