Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.74 / $40.74 / $269.15	Facility	26	$40.74	$40.74	$269.15
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $154.88 / $158.49 / $162.18	Facility	26	$154.88	$158.49	$162.18
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $46.77 / $79.43 / $165.96	Professional	26	$46.77	$79.43	$165.96
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $158.49 / $158.49 / $223.87	Facility	26	$158.49	$158.49	$223.87
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $93.33 / $107.15 / $194.98	Professional	26	$93.33	$107.15	$194.98
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $162.18 / $162.18 / $162.18	Facility	26	$162.18	$162.18	$162.18