Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.56 / $46.56 / $140.05	Facility	26	$46.56	$46.56	$140.05
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $138.13 / $142.28 / $146.43	Facility	26	$138.13	$142.28	$146.43
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $24.99 / $46.16 / $164.99	Professional	26	$24.99	$46.16	$164.99
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $142.28 / $188.97 / $188.97	Facility	26	$142.28	$188.97	$188.97
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $142.28 / $146.43 / $149.63	Facility	26	$142.28	$146.43	$149.63