Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $77.62 / $77.62 / $77.62	Facility	26	$77.62	$77.62	$77.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $251.19 / $741.31	Professional		$199.53	$251.19	$741.31
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $53.70 / $131.83	Professional	26	$41.69	$53.70	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $707.95 / $891.25	Professional		$263.03	$707.95	$891.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $114.82 / $190.55	Professional	26	$57.54	$114.82	$190.55
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $416.87 / $851.14	Professional		$288.40	$416.87	$851.14
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $66.07 / $186.21	Professional	26	$50.12	$66.07	$186.21
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $239.88 / $239.88 / $239.88	Facility	26	$239.88	$239.88	$239.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $436.52 / $1,659.59	Professional		$245.47	$436.52	$1,659.59
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $91.20 / $338.84	Professional	26	$56.23	$91.20	$338.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $588.84 / $691.83	Professional		$416.87	$588.84	$691.83
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $107.15 / $131.83 / $141.25	Professional	26	$107.15	$131.83	$141.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $588.84 / $691.83	Professional		$436.52	$588.84	$691.83
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $112.20 / $134.90 / $141.25	Professional	26	$112.20	$134.90	$141.25
United Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $323.59 / $602.56	Professional		$239.88	$323.59	$602.56
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $79.43 / $144.54	Professional	26	$54.95	$79.43	$144.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $602.56 / $707.95	Professional		$602.56	$602.56	$707.95
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $97.72 / $97.72 / $114.82	Professional	26	$97.72	$97.72	$114.82