Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $208.93 / $208.93 / $1,096.48	Facility	26	$208.93	$208.93	$1,096.48
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $630.96 / $645.65 / $676.08	Facility	26	$630.96	$645.65	$676.08
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $199.53 / $302.00 / $741.31	Professional	26	$199.53	$302.00	$741.31
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $645.65 / $1,862.09 / $1,862.09	Facility	26	$645.65	$1,862.09	$1,862.09
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $398.11 / $501.19 / $776.25	Professional	26	$398.11	$501.19	$776.25
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $676.08 / $676.08 / $676.08	Facility	26	$676.08	$676.08	$676.08