Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $112.09 / $112.09 / $112.09	Facility	26	$112.09	$112.09	$112.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $569.77 / $569.77 / $4,885.88	Professional		$569.77	$569.77	$4,885.88
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $242.63 / $249.91 / $257.19	Facility	26	$242.63	$249.91	$257.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,348.53 / $1,494.77 / $1,868.47	Professional		$1,348.53	$1,494.77	$1,868.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $618.80 / $928.21 / $3,430.23	Professional		$618.80	$928.21	$3,430.23
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $85.65 / $128.07 / $387.00	Professional	26	$85.65	$128.07	$387.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $249.91 / $249.91 / $249.91	Facility	26	$249.91	$249.91	$249.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $669.27 / $871.52 / $2,488.77	Professional		$669.27	$871.52	$2,488.77
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $249.91 / $257.19 / $469.26	Facility	26	$249.91	$257.19	$469.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,214.07 / $1,420.18 / $2,407.55	Professional		$1,214.07	$1,420.18	$2,407.55
United Facility/Professional Professional Modifier Low / Median / High Price $669.27 / $736.20 / $1,351.52	Professional		$669.27	$736.20	$1,351.52
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $854.70 / $1,081.90 / $1,272.90	Professional		$854.70	$1,081.90	$1,272.90