Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $100.00 / $371.54	Facility	26	$100.00	$100.00	$371.54
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $218.78 / $229.09 / $234.42	Facility	26	$218.78	$229.09	$234.42
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $117.49 / $144.54	Professional	26	$74.13	$117.49	$144.54
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $229.09 / $229.09 / $1,071.52	Facility	26	$229.09	$229.09	$1,071.52
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $147.91 / $165.96 / $281.84	Professional	26	$147.91	$165.96	$281.84
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $234.42 / $234.42 / $234.42	Facility	26	$234.42	$234.42	$234.42