Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $383.30 / $776.37 / $1,435.93	Facility	26	$383.30	$776.37	$1,435.93
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $782.72 / $806.20 / $829.68	Facility	26	$782.72	$806.20	$829.68
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $245.95 / $401.36 / $715.17	Professional	26	$245.95	$401.36	$715.17
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $806.20 / $806.20 / $806.20	Facility	26	$806.20	$806.20	$806.20
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $806.20 / $829.68 / $1,465.08	Facility	26	$806.20	$829.68	$1,465.08