Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $85.11 / $89.13 / $295.12	Facility	26	$85.11	$89.13	$295.12
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $177.83 / $186.21 / $190.55	Facility	26	$177.83	$186.21	$190.55
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $97.72 / $190.55	Professional	26	$61.66	$97.72	$190.55
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $186.21 / $186.21 / $275.42	Facility	26	$186.21	$186.21	$275.42
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $120.23 / $128.82 / $204.17	Professional	26	$120.23	$128.82	$204.17
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $190.55 / $190.55 / $190.55	Facility	26	$190.55	$190.55	$190.55