Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $155.15 / $277.79 / $512.58	Facility	26	$155.15	$277.79	$512.58
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $87.00 / $100.00 / $291.50	Professional	26	$87.00	$100.00	$291.50
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $283.01 / $291.50 / $299.99	Facility	26	$283.01	$291.50	$299.99
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $175.78 / $190.82 / $238.53	Professional	26	$175.78	$190.82	$238.53
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $77.29 / $118.13 / $180.90	Professional	26	$77.29	$118.13	$180.90
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $291.50 / $291.50 / $291.50	Facility	26	$291.50	$291.50	$291.50
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $85.49 / $100.73 / $1,337.38	Professional	26	$85.49	$100.73	$1,337.38
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $291.50 / $299.99 / $468.90	Facility	26	$291.50	$299.99	$468.90
United Facility/Professional Professional Modifier 26 Low / Median / High Price $85.49 / $98.35 / $165.05	Professional	26	$85.49	$98.35	$165.05
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $125.77 / $159.19 / $187.20	Professional	26	$125.77	$159.19	$187.20