Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $102.53 / $102.53 / $102.53	Facility	26	$102.53	$102.53	$102.53
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $227.16 / $233.97 / $240.79	Facility	26	$227.16	$233.97	$240.79
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $77.95 / $109.40 / $389.10	Professional	26	$77.95	$109.40	$389.10
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $233.97 / $345.15 / $345.15	Facility	26	$233.97	$345.15	$345.15
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $233.97 / $240.79 / $427.56	Facility	26	$233.97	$240.79	$427.56