Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $89.97 / $171.71 / $313.01	Facility	26	$89.97	$171.71	$313.01
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $188.06 / $193.70 / $199.34	Facility	26	$188.06	$193.70	$199.34
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $50.92 / $81.81 / $179.94	Professional	26	$50.92	$81.81	$179.94
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $193.70 / $252.69 / $252.69	Facility	26	$193.70	$252.69	$252.69
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $193.70 / $199.34 / $295.38	Facility	26	$193.70	$199.34	$295.38