Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $75.86 / $93.33 / $269.15	Facility	26	$75.86	$93.33	$269.15
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $81.28 / $162.18	Professional	26	$52.48	$81.28	$162.18
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $128.82 / $257.04 / $257.04	Facility	26	$128.82	$257.04	$257.04
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $114.82 / $138.04 / $158.49	Professional	26	$114.82	$138.04	$158.49