Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.25 / $72.16 / $133.49	Facility	26	$41.25	$72.16	$133.49
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $72.38 / $74.55 / $76.72	Facility	26	$72.38	$74.55	$76.72
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $21.55 / $35.40 / $64.50	Professional	26	$21.55	$35.40	$64.50
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $74.55 / $74.55 / $74.55	Facility	26	$74.55	$74.55	$74.55
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $74.55 / $76.72 / $128.10	Facility	26	$74.55	$76.72	$128.10