Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $89.60 / $170.99 / $315.66	Facility	26	$89.60	$170.99	$315.66
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $168.89 / $173.96 / $179.02	Facility	26	$168.89	$173.96	$179.02
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $48.29 / $78.45 / $407.69	Professional	26	$48.29	$78.45	$407.69
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $173.96 / $240.42 / $240.42	Facility	26	$173.96	$240.42	$240.42
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $173.96 / $179.02 / $285.77	Facility	26	$173.96	$179.02	$285.77