Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $81.28 / $81.28 / $489.78	Facility	26	$81.28	$81.28	$489.78
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $302.00 / $309.03 / $316.23	Facility	26	$302.00	$309.03	$316.23
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $93.33 / $181.97 / $354.81	Professional	26	$93.33	$181.97	$354.81
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $309.03 / $1,071.52 / $1,071.52	Facility	26	$309.03	$1,071.52	$1,071.52
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $181.97 / $213.80 / $288.40	Professional	26	$181.97	$213.80	$288.40
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $316.23 / $316.23 / $316.23	Facility	26	$316.23	$316.23	$316.23