Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $63.77 / $85.47 / $136.88	Facility	26	$63.77	$85.47	$136.88
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $87.77 / $90.40 / $93.04	Facility	26	$87.77	$90.40	$93.04
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $24.89 / $36.99 / $51.94	Professional	26	$24.89	$36.99	$51.94
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $90.40 / $121.12 / $121.12	Facility	26	$90.40	$121.12	$121.12
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $90.40 / $93.04 / $146.94	Facility	26	$90.40	$93.04	$146.94