Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $107.17 / $107.17 / $107.17	Facility	26	$107.17	$107.17	$107.17
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $230.93 / $237.86 / $244.79	Facility	26	$230.93	$237.86	$244.79
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $80.87 / $120.98 / $4,089.04	Professional	26	$80.87	$120.98	$4,089.04
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $237.86 / $237.86 / $237.86	Facility	26	$237.86	$237.86	$237.86
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $237.86 / $244.79 / $439.44	Facility	26	$237.86	$244.79	$439.44