Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $116.86 / $116.86 / $350.86	Facility	26	$116.86	$116.86	$350.86
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $221.73 / $228.38 / $235.03	Facility	26	$221.73	$228.38	$235.03
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $63.20 / $104.28 / $248.59	Professional	26	$63.20	$104.28	$248.59
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $228.38 / $228.38 / $228.38	Facility	26	$228.38	$228.38	$228.38
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $228.38 / $235.03 / $381.84	Facility	26	$228.38	$235.03	$381.84