Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.14 / $15.14 / $91.20	Facility	26	$15.14	$15.14	$91.20
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $51.29 / $53.70 / $54.95	Facility	26	$51.29	$53.70	$54.95
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $15.85 / $22.91 / $107.15	Professional	26	$15.85	$22.91	$107.15
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $53.70 / $79.43 / $79.43	Facility	26	$53.70	$79.43	$79.43
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $40.74 / $53.70	Professional	26	$34.67	$40.74	$53.70
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $54.95 / $54.95 / $54.95	Facility	26	$54.95	$54.95	$54.95