Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $89.47 / $167.97 / $310.00	Facility	26	$89.47	$167.97	$310.00
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $169.88 / $174.98 / $180.07	Facility	26	$169.88	$174.98	$180.07
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $48.02 / $78.14 / $534.78	Professional	26	$48.02	$78.14	$534.78
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $174.98 / $240.42 / $240.42	Facility	26	$174.98	$240.42	$240.42
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $174.98 / $180.07 / $284.58	Facility	26	$174.98	$180.07	$284.58