Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.02 / $155.19 / $633.90	Professional		$46.02	$155.19	$633.90
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.07 / $47.18 / $169.82	Professional	26	$26.07	$47.18	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $188.93 / $253.59 / $325.44	Professional		$188.93	$253.59	$325.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.63 / $44.53 / $74.84	Professional	26	$35.63	$44.53	$74.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $158.01 / $164.46 / $521.66	Professional		$158.01	$164.46	$521.66
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $29.39 / $29.98 / $333.02	Professional	26	$29.39	$29.98	$333.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $82.54 / $142.94 / $408.91	Professional		$82.54	$142.94	$408.91
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $34.53 / $40.88 / $135.07	Professional	26	$34.53	$40.88	$135.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $68.94 / $220.21 / $409.27	Professional		$68.94	$220.21	$409.27
United Facility/Professional Professional Modifier Low / Median / High Price $91.95 / $142.94 / $219.72	Professional		$91.95	$142.94	$219.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.53 / $40.88 / $60.58	Professional	26	$34.53	$40.88	$60.58
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $258.49 / $327.20 / $385.00	Professional		$258.49	$327.20	$385.00
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $46.22 / $58.50 / $68.90	Professional	26	$46.22	$58.50	$68.90