Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $44.30 / $109.48 / $202.18	Facility	26	$44.30	$109.48	$202.18
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $105.38 / $108.54 / $111.70	Facility	26	$105.38	$108.54	$111.70
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $31.39 / $50.51 / $101.98	Professional	26	$31.39	$50.51	$101.98
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $108.54 / $108.54 / $108.54	Facility	26	$108.54	$108.54	$108.54
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $108.54 / $111.70 / $186.96	Facility	26	$108.54	$111.70	$186.96