Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.67 / $34.67 / $131.83	Facility	26	$34.67	$34.67	$131.83
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $79.43 / $81.28 / $83.18	Facility	26	$79.43	$81.28	$83.18
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $36.31 / $50.12 / $257.04	Professional	26	$36.31	$50.12	$257.04
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $93.33 / $173.78 / $173.78	Facility	26	$93.33	$173.78	$173.78
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $83.18 / $97.72	Professional	26	$63.10	$83.18	$97.72
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $83.18 / $83.18 / $83.18	Facility	26	$83.18	$83.18	$83.18