Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $78.38 / $128.43 / $237.15	Facility	26	$78.38	$128.43	$237.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $248.87 / $248.87 / $2,142.98	Professional		$248.87	$248.87	$2,142.98
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $124.17 / $127.90 / $131.62	Facility	26	$124.17	$127.90	$131.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $587.09 / $649.26 / $811.58	Professional		$587.09	$649.26	$811.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $237.31 / $406.51 / $941.88	Professional		$237.31	$406.51	$941.88
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $34.43 / $57.87 / $114.79	Professional	26	$34.43	$57.87	$114.79
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $127.90 / $127.90 / $127.90	Facility	26	$127.90	$127.90	$127.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $287.56 / $463.00 / $934.01	Professional		$287.56	$463.00	$934.01
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $127.90 / $131.62 / $204.60	Facility	26	$127.90	$131.62	$204.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $456.00 / $624.21 / $838.78	Professional		$456.00	$624.21	$838.78
United Facility/Professional Professional Modifier Low / Median / High Price $293.60 / $337.64 / $592.85	Professional		$293.60	$337.64	$592.85
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $372.09 / $471.00 / $554.20	Professional		$372.09	$471.00	$554.20