Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $113.56 / $325.60 / $971.52	Facility	26	$113.56	$325.60	$971.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $786.64 / $1,162.66 / $2,209.05	Professional		$786.64	$1,162.66	$2,209.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,723.81 / $1,902.17 / $2,154.77	Professional		$1,723.81	$1,902.17	$2,154.77
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $705.40 / $1,072.35 / $2,913.14	Professional		$705.40	$1,072.35	$2,913.14
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $118.99 / $188.50 / $394.12	Professional	26	$118.99	$188.50	$394.12
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $1,180.80 / $1,180.80 / $1,180.80	Facility	26	$1,180.80	$1,180.80	$1,180.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $940.48 / $1,729.74 / $2,995.57	Professional		$940.48	$1,729.74	$2,995.57
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,048.13 / $1,674.28 / $2,334.73	Professional		$1,048.13	$1,674.28	$2,334.73
United Facility/Professional Professional Modifier Low / Median / High Price $901.29 / $1,791.85 / $2,260.34	Professional		$901.29	$1,791.85	$2,260.34
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,291.49 / $1,634.80 / $1,923.30	Professional		$1,291.49	$1,634.80	$1,923.30