Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.10 / $42.73 / $130.86	Facility	26	$23.10	$42.73	$130.86
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $79.59 / $81.98 / $84.37	Facility	26	$79.59	$81.98	$84.37
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $23.20 / $38.13 / $75.20	Professional	26	$23.20	$38.13	$75.20
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $81.98 / $81.98 / $81.98	Facility	26	$81.98	$81.98	$81.98
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $81.98 / $84.37 / $138.06	Facility	26	$81.98	$84.37	$138.06