Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.20 / $30.20 / $169.82	Facility	26	$30.20	$30.20	$169.82
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $102.33 / $104.71 / $109.65	Facility	26	$102.33	$104.71	$109.65
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $54.95 / $104.71	Professional	26	$33.88	$54.95	$104.71
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $104.71 / $158.49 / $158.49	Facility	26	$104.71	$158.49	$158.49
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $81.28 / $123.03	Professional	26	$69.18	$81.28	$123.03
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $109.65 / $109.65 / $109.65	Facility	26	$109.65	$109.65	$109.65