Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $477.21 / $892.38 / $1,620.76	Facility	26	$477.21	$892.38	$1,620.76
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $263.23 / $423.27 / $603.74	Professional	26	$263.23	$423.27	$603.74
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $1,104.00 / $1,270.10 / $1,270.10	Facility	26	$1,104.00	$1,270.10	$1,270.10
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $1,104.00 / $1,136.15 / $1,469.04	Facility	26	$1,104.00	$1,136.15	$1,469.04