Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $50.41 / $96.05 / $177.84	Facility	26	$50.41	$96.05	$177.84
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $91.40 / $94.14 / $96.88	Facility	26	$91.40	$94.14	$96.88
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $27.83 / $45.61 / $85.41	Professional	26	$27.83	$45.61	$85.41
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $94.14 / $94.14 / $94.14	Facility	26	$94.14	$94.14	$94.14
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $94.14 / $96.88 / $165.36	Facility	26	$94.14	$96.88	$165.36