Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $107.15 / $107.15 / $162.18	Facility	26	$107.15	$107.15	$162.18
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $144.54 / $724.44	Professional	26	$77.62	$144.54	$724.44
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $3,311.31 / $3,311.31 / $3,311.31	Facility	26	$3,311.31	$3,311.31	$3,311.31
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $190.55 / $263.03 / $407.38	Professional	26	$190.55	$263.03	$407.38