Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $29.16 / $55.27 / $102.33	Facility	26	$29.16	$55.27	$102.33
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.57 / $55.18 / $56.78	Facility	26	$53.57	$55.18	$56.78
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $15.71 / $25.89 / $80.31	Professional	26	$15.71	$25.89	$80.31
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $55.18 / $55.18 / $55.18	Facility	26	$55.18	$55.18	$55.18
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $55.18 / $56.78 / $95.10	Facility	26	$55.18	$56.78	$95.10