Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $102.99 / $194.19 / $358.16	Facility	26	$102.99	$194.19	$358.16
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $195.29 / $201.15 / $207.01	Facility	26	$195.29	$201.15	$207.01
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $55.52 / $90.39 / $198.81	Professional	26	$55.52	$90.39	$198.81
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $201.15 / $276.95 / $276.95	Facility	26	$201.15	$276.95	$276.95
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $201.15 / $207.01 / $329.40	Facility	26	$201.15	$207.01	$329.40