Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $66.04 / $123.16 / $226.75	Facility	26	$66.04	$123.16	$226.75
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $126.09 / $129.87 / $133.66	Facility	26	$126.09	$129.87	$133.66
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $34.85 / $56.87 / $112.87	Professional	26	$34.85	$56.87	$112.87
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $129.87 / $175.23 / $175.23	Facility	26	$129.87	$175.23	$175.23
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $129.87 / $133.66 / $206.28	Facility	26	$129.87	$133.66	$206.28