Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.94 / $51.35 / $161.22	Facility	26	$27.94	$51.35	$161.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $202.82 / $202.82 / $1,774.62	Professional		$202.82	$202.82	$1,774.62
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $99.35 / $102.33 / $105.31	Facility	26	$99.35	$102.33	$105.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $486.75 / $537.55 / $671.95	Professional		$486.75	$537.55	$671.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $196.69 / $307.45 / $462.41	Professional		$196.69	$307.45	$462.41
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $28.42 / $44.61 / $67.02	Professional	26	$28.42	$44.61	$67.02
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $102.33 / $102.33 / $102.33	Facility	26	$102.33	$102.33	$102.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $181.34 / $316.41 / $690.64	Professional		$181.34	$316.41	$690.64
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $102.33 / $105.31 / $167.16	Facility	26	$102.33	$105.31	$167.16
Midlands Facility/Professional Professional Modifier Low / Median / High Price $293.00 / $435.77 / $587.28	Professional		$293.00	$435.77	$587.28
United Facility/Professional Professional Modifier Low / Median / High Price $190.60 / $276.22 / $468.96	Professional		$190.60	$276.22	$468.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $308.50 / $390.50 / $459.40	Professional		$308.50	$390.50	$459.40