Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $105.70 / $236.85 / $436.09	Facility	26	$105.70	$236.85	$436.09
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $236.51 / $243.61 / $250.70	Facility	26	$236.51	$243.61	$250.70
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $66.05 / $119.03 / $170.70	Professional	26	$66.05	$119.03	$170.70
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $243.61 / $243.61 / $243.61	Facility	26	$243.61	$243.61	$243.61
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $243.61 / $250.70 / $393.24	Facility	26	$243.61	$250.70	$393.24