Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.20 / $100.52 / $185.58	Facility	26	$54.20	$100.52	$185.58
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $102.29 / $105.36 / $108.43	Facility	26	$102.29	$105.36	$108.43
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $32.54 / $55.46 / $95.71	Professional	26	$32.54	$55.46	$95.71
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $105.36 / $158.93 / $158.93	Facility	26	$105.36	$158.93	$158.93
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $105.36 / $108.43 / $191.04	Facility	26	$105.36	$108.43	$191.04