Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $111.62 / $111.62 / $333.46	Facility	26	$111.62	$111.62	$333.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $298.76 / $298.76 / $2,495.13	Professional		$298.76	$298.76	$2,495.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.75 / $58.75 / $395.21	Professional	26	$58.75	$58.75	$395.21
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $205.26 / $211.42 / $217.58	Facility	26	$205.26	$211.42	$217.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $707.34 / $781.91 / $977.38	Professional		$707.34	$781.91	$977.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $136.63 / $147.38 / $184.23	Professional	26	$136.63	$147.38	$184.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $287.70 / $448.14 / $1,265.89	Professional		$287.70	$448.14	$1,265.89
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $60.13 / $111.15 / $230.74	Professional	26	$60.13	$111.15	$230.74
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $211.42 / $211.42 / $211.42	Facility	26	$211.42	$211.42	$211.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $318.44 / $452.38 / $1,118.16	Professional		$318.44	$452.38	$1,118.16
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $67.04 / $77.09 / $270.80	Professional	26	$67.04	$77.09	$270.80
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $211.42 / $217.58 / $361.68	Facility	26	$211.42	$217.58	$361.68
Midlands Facility/Professional Professional Modifier Low / Median / High Price $458.30 / $721.25 / $955.74	Professional		$458.30	$721.25	$955.74
United Facility/Professional Professional Modifier Low / Median / High Price $335.01 / $381.36 / $696.82	Professional		$335.01	$381.36	$696.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $67.04 / $76.48 / $129.38	Professional	26	$67.04	$76.48	$129.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $448.33 / $567.50 / $667.70	Professional		$448.33	$567.50	$667.70
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $86.58 / $109.60 / $129.00	Professional	26	$86.58	$109.60	$129.00