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 $74.13 / $75.86 / $79.43	Facility	26	$74.13	$75.86	$79.43
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $21.38 / $38.02 / $87.10	Professional	26	$21.38	$38.02	$87.10
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $75.86 / $107.15 / $107.15	Facility	26	$75.86	$107.15	$107.15
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $44.67 / $54.95 / $70.79	Professional	26	$44.67	$54.95	$70.79
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $79.43 / $79.43 / $79.43	Facility	26	$79.43	$79.43	$79.43