Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.40 / $105.76 / $195.41	Facility	26	$52.40	$105.76	$195.41
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $105.59 / $108.76 / $111.93	Facility	26	$105.59	$108.76	$111.93
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $51.24 / $63.62 / $174.90	Professional	26	$51.24	$63.62	$174.90
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $130.34 / $248.27 / $248.27	Facility	26	$130.34	$248.27	$248.27
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $108.76 / $111.93 / $307.32	Facility	26	$108.76	$111.93	$307.32