Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.95 / $19.95 / $125.89	Facility	26	$19.95	$19.95	$125.89
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $72.44 / $74.13 / $77.62	Facility	26	$72.44	$74.13	$77.62
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $21.38 / $36.31 / $60.26	Professional	26	$21.38	$36.31	$60.26
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $74.13 / $117.49 / $117.49	Facility	26	$74.13	$117.49	$117.49
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $52.48 / $69.18	Professional	26	$45.71	$52.48	$69.18
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $77.62 / $77.62 / $77.62	Facility	26	$77.62	$77.62	$77.62