Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $56.23 / $56.23 / $338.84	Facility	26	$56.23	$56.23	$338.84
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $194.98 / $199.53 / $204.17	Facility	26	$194.98	$199.53	$204.17
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $95.50 / $144.54	Professional	26	$64.57	$95.50	$144.54
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $199.53 / $199.53 / $281.84	Facility	26	$199.53	$199.53	$281.84
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $125.89 / $141.25 / $223.87	Professional	26	$125.89	$141.25	$223.87
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $204.17 / $204.17 / $204.17	Facility	26	$204.17	$204.17	$204.17