Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $109.04 / $214.37 / $395.33	Facility	26	$109.04	$214.37	$395.33
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $208.91 / $215.18 / $221.44	Facility	26	$208.91	$215.18	$221.44
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $61.45 / $99.76 / $239.08	Professional	26	$61.45	$99.76	$239.08
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $215.18 / $303.95 / $303.95	Facility	26	$215.18	$303.95	$303.95
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $215.18 / $221.44 / $359.16	Facility	26	$215.18	$221.44	$359.16