Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.39 / $97.54 / $179.00	Professional		$59.39	$97.54	$179.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.51 / $26.89 / $32.11	Professional	26	$18.51	$26.89	$32.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.96 / $144.47 / $180.58	Professional		$97.96	$144.47	$180.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.00 / $44.39 / $49.83	Professional	26	$33.00	$44.39	$49.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $59.35 / $79.79 / $238.18	Professional		$59.35	$79.79	$238.18
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $18.62 / $27.55 / $58.54	Professional	26	$18.62	$27.55	$58.54
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $100.00 / $100.00	Facility	26	$100.00	$100.00	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $62.65 / $123.48 / $490.88	Professional		$62.65	$123.48	$490.88
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $21.70 / $33.88 / $122.01	Professional	26	$21.70	$33.88	$122.01
Midlands Facility/Professional Professional Modifier Low / Median / High Price $85.65 / $143.12 / $187.93	Professional		$85.65	$143.12	$187.93
United Facility/Professional Professional Modifier Low / Median / High Price $62.65 / $115.36 / $190.82	Professional		$62.65	$115.36	$190.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.54 / $31.57 / $52.22	Professional	26	$19.54	$31.57	$52.22
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $107.52 / $136.10 / $160.10	Professional		$107.52	$136.10	$160.10
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $30.02 / $38.00 / $44.70	Professional	26	$30.02	$38.00	$44.70