Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $67.61 / $125.89 / $162.18	Facility	26	$67.61	$125.89	$162.18
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $245.47 / $251.19 / $263.03	Facility	26	$245.47	$251.19	$263.03
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $123.03 / $407.38	Professional	26	$72.44	$123.03	$407.38
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $251.19 / $354.81 / $354.81	Facility	26	$251.19	$354.81	$354.81
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $151.36 / $186.21 / $234.42	Professional	26	$151.36	$186.21	$234.42
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $263.03 / $263.03 / $263.03	Facility	26	$263.03	$263.03	$263.03