Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.79 / $54.58 / $100.83	Facility	26	$28.79	$54.58	$100.83
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.54 / $55.15 / $56.75	Facility	26	$53.54	$55.15	$56.75
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $25.93 / $33.15 / $56.62	Professional	26	$25.93	$33.15	$56.62
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $65.77 / $125.66 / $125.66	Facility	26	$65.77	$125.66	$125.66
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $55.15 / $56.75 / $153.72	Facility	26	$55.15	$56.75	$153.72