Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $81.67 / $109.45 / $175.65	Facility	26	$81.67	$109.45	$175.65
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $106.80 / $110.00 / $113.21	Facility	26	$106.80	$110.00	$113.21
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $21.48 / $39.82 / $112.50	Professional	26	$21.48	$39.82	$112.50
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $110.00 / $147.54 / $147.54	Facility	26	$110.00	$147.54	$147.54
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $110.00 / $113.21 / $129.54	Facility	26	$110.00	$113.21	$129.54