Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $101.67 / $101.67 / $101.67	Facility	26	$101.67	$101.67	$101.67
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $219.24 / $225.82 / $232.39	Facility	26	$219.24	$225.82	$232.39
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $76.52 / $114.48 / $619.13	Professional	26	$76.52	$114.48	$619.13
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $225.82 / $225.82 / $225.82	Facility	26	$225.82	$225.82	$225.82
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $225.82 / $232.39 / $419.34	Facility	26	$225.82	$232.39	$419.34