Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $103.83 / $198.63 / $364.17	Facility	26	$103.83	$198.63	$364.17
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $201.68 / $207.73 / $213.78	Facility	26	$201.68	$207.73	$213.78
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $66.25 / $106.67 / $133.97	Professional	26	$66.25	$106.67	$133.97
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $207.73 / $323.95 / $323.95	Facility	26	$207.73	$323.95	$323.95
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $207.73 / $213.78 / $369.00	Facility	26	$207.73	$213.78	$369.00