Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $331.13 / $331.13 / $331.13	Facility	26	$331.13	$331.13	$331.13
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $229.09 / $371.54 / $812.83	Professional	26	$229.09	$371.54	$812.83
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $1,819.70 / $2,238.72 / $2,238.72	Facility	26	$1,819.70	$2,238.72	$2,238.72
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $489.78 / $630.96 / $741.31	Professional	26	$489.78	$630.96	$741.31