Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $74.66 / $159.03 / $293.98	Facility	26	$74.66	$159.03	$293.98
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $153.47 / $158.07 / $162.68	Facility	26	$153.47	$158.07	$162.68
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $43.21 / $77.84 / $164.44	Professional	26	$43.21	$77.84	$164.44
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $158.07 / $158.07 / $158.07	Facility	26	$158.07	$158.07	$158.07
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $158.07 / $162.68 / $259.08	Facility	26	$158.07	$162.68	$259.08