Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $112.20 / $112.20 / $112.20	Facility	26	$112.20	$112.20	$112.20
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $79.43 / $114.82 / $2,137.96	Professional	26	$79.43	$114.82	$2,137.96
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $363.08 / $363.08 / $363.08	Facility	26	$363.08	$363.08	$363.08
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $158.49 / $204.17 / $213.80	Professional	26	$158.49	$204.17	$213.80