Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.54 / $57.54 / $338.84	Facility	26	$57.54	$57.54	$338.84
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $199.53 / $204.17 / $208.93	Facility	26	$199.53	$204.17	$208.93
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $102.33 / $263.03	Professional	26	$61.66	$102.33	$263.03
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $151.36 / $295.12 / $295.12	Facility	26	$151.36	$295.12	$295.12
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $128.82 / $151.36 / $213.80	Professional	26	$128.82	$151.36	$213.80
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $208.93 / $208.93 / $208.93	Facility	26	$208.93	$208.93	$208.93