Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $120.23 / $120.23 / $645.65	Facility	26	$120.23	$120.23	$645.65
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $371.54 / $380.19 / $389.05	Facility	26	$371.54	$380.19	$389.05
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $112.20 / $162.18 / $776.25	Professional	26	$112.20	$162.18	$776.25
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $870.96 / $1,122.02 / $1,122.02	Facility	26	$870.96	$1,122.02	$1,122.02
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $239.88 / $275.42 / $338.84	Professional	26	$239.88	$275.42	$338.84
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $389.05 / $389.05 / $389.05	Facility	26	$389.05	$389.05	$389.05