Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $318.52 / $594.36 / $1,079.79	Facility	26	$318.52	$594.36	$1,079.79
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $174.86 / $281.76 / $399.72	Professional	26	$174.86	$281.76	$399.72
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $728.37 / $843.20 / $843.20	Facility	26	$728.37	$843.20	$843.20
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $728.37 / $749.59 / $967.56	Facility	26	$728.37	$749.59	$967.56