Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $51.99 / $102.64 / $189.57	Facility	26	$51.99	$102.64	$189.57
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $100.23 / $103.24 / $106.24	Facility	26	$100.23	$103.24	$106.24
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $29.41 / $48.23 / $123.65	Professional	26	$29.41	$48.23	$123.65
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $103.24 / $103.24 / $103.24	Facility	26	$103.24	$103.24	$103.24
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $103.24 / $106.24 / $175.02	Facility	26	$103.24	$106.24	$175.02