Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $86.63 / $165.97 / $306.24	Facility	26	$86.63	$165.97	$306.24
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $184.74 / $190.28 / $195.82	Facility	26	$184.74	$190.28	$195.82
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $47.75 / $77.42 / $246.62	Professional	26	$47.75	$77.42	$246.62
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $190.28 / $238.74 / $238.74	Facility	26	$190.28	$238.74	$238.74
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $190.28 / $195.82 / $281.58	Facility	26	$190.28	$195.82	$281.58