Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $97.72 / $97.72 / $549.54	Facility	26	$97.72	$97.72	$549.54
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $323.59 / $331.13 / $346.74	Facility	26	$323.59	$331.13	$346.74
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $109.65 / $173.78 / $478.63	Professional	26	$109.65	$173.78	$478.63
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $331.13 / $537.03 / $537.03	Facility	26	$331.13	$537.03	$537.03
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $218.78 / $257.04 / $331.13	Professional	26	$218.78	$257.04	$331.13
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $346.74 / $346.74 / $346.74	Facility	26	$346.74	$346.74	$346.74