Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $63.76 / $120.56 / $222.58	Facility	26	$63.76	$120.56	$222.58
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $117.05 / $120.56 / $124.07	Facility	26	$117.05	$120.56	$124.07
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $31.31 / $53.06 / $128.75	Professional	26	$31.31	$53.06	$128.75
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $120.56 / $120.56 / $120.56	Facility	26	$120.56	$120.56	$120.56
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $120.56 / $124.07 / $187.26	Facility	26	$120.56	$124.07	$187.26