Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $63.42 / $116.47 / $215.99	Facility	26	$63.42	$116.47	$215.99
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $116.81 / $120.31 / $123.82	Facility	26	$116.81	$120.31	$123.82
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $33.86 / $55.61 / $107.08	Professional	26	$33.86	$55.61	$107.08
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $120.31 / $120.31 / $120.31	Facility	26	$120.31	$120.31	$120.31
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $120.31 / $123.82 / $204.00	Facility	26	$120.31	$123.82	$204.00