Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $84.90 / $177.40 / $328.50	Facility	26	$84.90	$177.40	$328.50
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $179.49 / $184.87 / $190.26	Facility	26	$179.49	$184.87	$190.26
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $55.93 / $90.89 / $160.62	Professional	26	$55.93	$90.89	$160.62
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $184.87 / $184.87 / $184.87	Facility	26	$184.87	$184.87	$184.87
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $184.87 / $190.26 / $335.04	Facility	26	$184.87	$190.26	$335.04