Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $50.27 / $126.75 / $234.32	Facility	26	$50.27	$126.75	$234.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $243.28 / $243.28 / $2,083.88	Professional		$243.28	$243.28	$2,083.88
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $119.34 / $122.92 / $126.50	Facility	26	$119.34	$122.92	$126.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $573.55 / $635.29 / $794.12	Professional		$573.55	$635.29	$794.12
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $232.11 / $361.88 / $1,731.07	Professional		$232.11	$361.88	$1,731.07
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $35.76 / $57.38 / $179.75	Professional	26	$35.76	$57.38	$179.75
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $122.92 / $122.92 / $122.92	Facility	26	$122.92	$122.92	$122.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $286.24 / $372.74 / $918.72	Professional		$286.24	$372.74	$918.72
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $122.92 / $126.50 / $215.64	Facility	26	$122.92	$126.50	$215.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $473.21 / $611.11 / $814.16	Professional		$473.21	$611.11	$814.16
United Facility/Professional Professional Modifier Low / Median / High Price $286.24 / $329.18 / $577.48	Professional		$286.24	$329.18	$577.48
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $363.56 / $460.20 / $541.40	Professional		$363.56	$460.20	$541.40