Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $125.52 / $245.62 / $453.09	Facility	26	$125.52	$245.62	$453.09
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $246.66 / $254.06 / $261.45	Facility	26	$246.66	$254.06	$261.45
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $71.72 / $116.13 / $330.94	Professional	26	$71.72	$116.13	$330.94
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $254.06 / $352.14 / $352.14	Facility	26	$254.06	$352.14	$352.14
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $254.06 / $261.45 / $419.76	Facility	26	$254.06	$261.45	$419.76