Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $167.17 / $327.00 / $604.91	Facility	26	$167.17	$327.00	$604.91
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $323.63 / $333.34 / $343.05	Facility	26	$323.63	$333.34	$343.05
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $108.79 / $171.65 / $390.08	Professional	26	$108.79	$171.65	$390.08
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $333.34 / $531.37 / $531.37	Facility	26	$333.34	$531.37	$531.37
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $333.34 / $343.05 / $602.28	Facility	26	$333.34	$343.05	$602.28