Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.91 / $22.91 / $141.25	Facility	26	$22.91	$22.91	$141.25
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $83.18 / $85.11 / $87.10	Facility	26	$83.18	$85.11	$87.10
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $26.30 / $43.65 / $75.86	Professional	26	$26.30	$43.65	$75.86
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $85.11 / $85.11 / $120.23	Facility	26	$85.11	$85.11	$120.23
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $60.26 / $102.33	Professional	26	$52.48	$60.26	$102.33
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $87.10 / $87.10 / $87.10	Facility	26	$87.10	$87.10	$87.10