Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $279.12 / $508.45 / $920.80	Facility	26	$279.12	$508.45	$920.80
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $152.86 / $245.69 / $352.73	Professional	26	$152.86	$245.69	$352.73
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $640.17 / $737.24 / $737.24	Facility	26	$640.17	$737.24	$737.24
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $640.17 / $658.82 / $854.94	Facility	26	$640.17	$658.82	$854.94