Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $90.06 / $170.34 / $315.32	Facility	26	$90.06	$170.34	$315.32
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $169.32 / $174.40 / $179.48	Facility	26	$169.32	$174.40	$179.48
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $48.58 / $78.95 / $191.26	Professional	26	$48.58	$78.95	$191.26
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $174.40 / $239.22 / $239.22	Facility	26	$174.40	$239.22	$239.22
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $174.40 / $179.48 / $289.38	Facility	26	$174.40	$179.48	$289.38