Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $51.31 / $51.31 / $155.80	Facility	26	$51.31	$51.31	$155.80
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $94.73 / $97.57 / $100.41	Facility	26	$94.73	$97.57	$100.41
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $28.08 / $45.80 / $92.57	Professional	26	$28.08	$45.80	$92.57
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $97.57 / $136.22 / $136.22	Facility	26	$97.57	$136.22	$136.22
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $97.57 / $100.41 / $168.78	Facility	26	$97.57	$100.41	$168.78