Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $51.07 / $94.69 / $287.95	Facility	26	$51.07	$94.69	$287.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $284.98 / $352.73 / $2,419.58	Professional		$284.98	$352.73	$2,419.58
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $175.88 / $181.16 / $186.43	Facility	26	$175.88	$181.16	$186.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $676.76 / $748.55 / $935.69	Professional		$676.76	$748.55	$935.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $274.67 / $428.22 / $1,406.55	Professional		$274.67	$428.22	$1,406.55
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $51.36 / $84.27 / $228.18	Professional	26	$51.36	$84.27	$228.18
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $181.16 / $181.16 / $181.16	Facility	26	$181.16	$181.16	$181.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $301.10 / $437.14 / $1,028.29	Professional		$301.10	$437.14	$1,028.29
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $181.16 / $186.43 / $307.80	Facility	26	$181.16	$186.43	$307.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $436.00 / $703.70 / $906.11	Professional		$436.00	$703.70	$906.11
United Facility/Professional Professional Modifier Low / Median / High Price $311.36 / $384.71 / $673.46	Professional		$311.36	$384.71	$673.46
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $428.97 / $543.00 / $638.79	Professional		$428.97	$543.00	$638.79