Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $557.13 / $1,041.79 / $1,892.60	Facility	26	$557.13	$1,041.79	$1,892.60
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $307.17 / $494.27 / $705.19	Professional	26	$307.17	$494.27	$705.19
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $1,289.18 / $1,482.02 / $1,482.02	Facility	26	$1,289.18	$1,482.02	$1,482.02
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $1,289.18 / $1,326.73 / $1,711.08	Facility	26	$1,289.18	$1,326.73	$1,711.08