Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.02 / $39.02 / $110.01	Facility	26	$39.02	$39.02	$110.01
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $107.12 / $110.33 / $113.55	Facility	26	$107.12	$110.33	$113.55
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $21.18 / $39.28 / $94.79	Professional	26	$21.18	$39.28	$94.79
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $110.33 / $147.54 / $147.54	Facility	26	$110.33	$147.54	$147.54
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $110.33 / $113.55 / $127.74	Facility	26	$110.33	$113.55	$127.74