Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.92 / $75.97 / $140.26	Facility	26	$38.92	$75.97	$140.26
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $75.95 / $78.23 / $80.51	Facility	26	$75.95	$78.23	$80.51
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $21.91 / $35.99 / $76.48	Professional	26	$21.91	$35.99	$76.48
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $78.23 / $78.23 / $78.23	Facility	26	$78.23	$78.23	$78.23
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $78.23 / $80.51 / $132.00	Facility	26	$78.23	$80.51	$132.00