Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $82.75 / $202.38 / $374.58	Facility	26	$82.75	$202.38	$374.58
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $192.80 / $198.58 / $204.37	Facility	26	$192.80	$198.58	$204.37
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $58.73 / $95.18 / $123.65	Professional	26	$58.73	$95.18	$123.65
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $198.58 / $198.58 / $198.58	Facility	26	$198.58	$198.58	$198.58
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $198.58 / $204.37 / $350.34	Facility	26	$198.58	$204.37	$350.34