Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.84 / $28.84 / $177.83	Facility	26	$28.84	$28.84	$177.83
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $102.33 / $104.71 / $109.65	Facility	26	$102.33	$104.71	$109.65
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $32.36 / $53.70 / $95.50	Professional	26	$32.36	$53.70	$95.50
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $104.71 / $104.71 / $147.91	Facility	26	$104.71	$104.71	$147.91
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $77.62 / $125.89	Professional	26	$64.57	$77.62	$125.89
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $109.65 / $109.65 / $109.65	Facility	26	$109.65	$109.65	$109.65