Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.47 / $114.19 / $211.25	Facility	26	$60.47	$114.19	$211.25
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $111.96 / $115.32 / $118.68	Facility	26	$111.96	$115.32	$118.68
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $33.57 / $57.65 / $114.73	Professional	26	$33.57	$57.65	$114.73
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $115.32 / $115.32 / $115.32	Facility	26	$115.32	$115.32	$115.32
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $115.32 / $118.68 / $186.66	Facility	26	$115.32	$118.68	$186.66