Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.18 / $28.18 / $173.78	Facility	26	$28.18	$28.18	$173.78
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $102.33 / $104.71 / $107.15	Facility	26	$102.33	$104.71	$107.15
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $32.36 / $52.48 / $74.13	Professional	26	$32.36	$52.48	$74.13
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $104.71 / $104.71 / $144.54	Facility	26	$104.71	$104.71	$144.54
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $72.44 / $123.03	Professional	26	$63.10	$72.44	$123.03
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $107.15 / $107.15 / $107.15	Facility	26	$107.15	$107.15	$107.15