Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $363.08 / $363.08 / $363.08	Facility	26	$363.08	$363.08	$363.08
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $257.04 / $436.52 / $1,445.44	Professional	26	$257.04	$436.52	$1,445.44
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $1,479.11 / $1,479.11 / $1,479.11	Facility	26	$1,479.11	$1,479.11	$1,479.11
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $630.96 / $660.69 / $954.99	Professional	26	$630.96	$660.69	$954.99