Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $238.43 / $604.44 / $1,112.10	Facility	26	$238.43	$604.44	$1,112.10
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $604.47 / $622.60 / $640.74	Facility	26	$604.47	$622.60	$640.74
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $169.92 / $276.56 / $500.99	Professional	26	$169.92	$276.56	$500.99
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $622.60 / $1,693.28 / $1,693.28	Facility	26	$622.60	$1,693.28	$1,693.28
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $622.60 / $640.74 / $1,002.42	Facility	26	$622.60	$640.74	$1,002.42