Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $109.04 / $211.34 / $389.67	Facility	26	$109.04	$211.34	$389.67
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $212.60 / $218.98 / $225.36	Facility	26	$212.60	$218.98	$225.36
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $60.88 / $98.79 / $237.82	Professional	26	$60.88	$98.79	$237.82
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $218.98 / $303.95 / $303.95	Facility	26	$218.98	$303.95	$303.95
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $218.98 / $225.36 / $357.36	Facility	26	$218.98	$225.36	$357.36