Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.73 / $51.09 / $51.09	Facility	26	$17.73	$51.09	$51.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.51 / $104.70 / $263.00	Professional		$56.51	$104.70	$263.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.07 / $23.16 / $51.09	Professional	26	$18.07	$23.16	$51.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.36 / $155.63 / $194.54	Professional		$79.36	$155.63	$194.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.57 / $44.49 / $49.83	Professional	26	$36.57	$44.49	$49.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $63.89 / $85.93 / $189.95	Professional		$63.89	$85.93	$189.95
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $18.62 / $27.03 / $45.61	Professional	26	$18.62	$27.03	$45.61
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 $60.36 / $125.61 / $516.91	Professional		$60.36	$125.61	$516.91
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $21.34 / $33.88 / $122.01	Professional	26	$21.34	$33.88	$122.01
Midlands Facility/Professional Professional Modifier Low / Median / High Price $82.28 / $144.13 / $191.72	Professional		$82.28	$144.13	$191.72
United Facility/Professional Professional Modifier Low / Median / High Price $63.38 / $118.50 / $191.90	Professional		$63.38	$118.50	$191.90
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.64 / $31.04 / $51.35	Professional	26	$19.64	$31.04	$51.35
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $115.97 / $146.80 / $172.70	Professional		$115.97	$146.80	$172.70
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $30.02 / $38.00 / $44.70	Professional	26	$30.02	$38.00	$44.70