Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $63.76 / $124.50 / $230.16	Facility	26	$63.76	$124.50	$230.16
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $120.96 / $124.59 / $128.22	Facility	26	$120.96	$124.59	$128.22
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $36.26 / $59.40 / $110.48	Professional	26	$36.26	$59.40	$110.48
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $124.59 / $124.59 / $124.59	Facility	26	$124.59	$124.59	$124.59
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $124.59 / $128.22 / $214.08	Facility	26	$124.59	$128.22	$214.08