Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $90.10 / $149.60 / $276.18	Facility	26	$90.10	$149.60	$276.18
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $144.94 / $149.30 / $153.65	Facility	26	$144.94	$149.30	$153.65
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $42.85 / $70.39 / $140.22	Professional	26	$42.85	$70.39	$140.22
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $149.30 / $149.30 / $149.30	Facility	26	$149.30	$149.30	$149.30
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $149.30 / $153.65 / $256.92	Facility	26	$149.30	$153.65	$256.92