Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.76 / $110.73 / $205.41	Facility	26	$58.76	$110.73	$205.41
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $108.69 / $111.95 / $115.21	Facility	26	$108.69	$111.95	$115.21
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $31.06 / $50.95 / $117.28	Professional	26	$31.06	$50.95	$117.28
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $111.95 / $111.95 / $111.95	Facility	26	$111.95	$111.95	$111.95
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $111.95 / $115.21 / $184.98	Facility	26	$111.95	$115.21	$184.98