Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $254.12 / $656.37 / $1,207.45	Facility	26	$254.12	$656.37	$1,207.45
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $633.38 / $652.38 / $671.38	Facility	26	$633.38	$652.38	$671.38
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $185.09 / $302.14 / $568.37	Professional	26	$185.09	$302.14	$568.37
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $652.38 / $1,850.96 / $1,850.96	Facility	26	$652.38	$1,850.96	$1,850.96
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $652.38 / $671.38 / $1,098.35	Facility	26	$652.38	$671.38	$1,098.35