Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.57 / $84.72 / $156.50	Facility	26	$54.57	$84.72	$156.50
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $83.46 / $85.96 / $88.47	Facility	26	$83.46	$85.96	$88.47
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $25.28 / $41.38 / $79.03	Professional	26	$25.28	$41.38	$79.03
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $85.96 / $85.96 / $85.96	Facility	26	$85.96	$85.96	$85.96
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $85.96 / $88.47 / $143.82	Facility	26	$85.96	$88.47	$143.82