Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $150.16 / $219.64 / $404.76	Facility	26	$150.16	$219.64	$404.76
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $221.16 / $227.79 / $234.43	Facility	26	$221.16	$227.79	$234.43
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $68.02 / $118.55 / $143.02	Professional	26	$68.02	$118.55	$143.02
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $227.79 / $227.79 / $227.79	Facility	26	$227.79	$227.79	$227.79
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $227.79 / $234.43 / $406.38	Facility	26	$227.79	$234.43	$406.38