Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.26 / $81.73 / $81.73	Facility	26	$25.26	$81.73	$81.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.50 / $102.76 / $297.89	Professional		$48.50	$102.76	$297.89
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.86 / $66.40 / $190.69	Professional	26	$27.86	$66.40	$190.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.71 / $126.72 / $136.34	Professional		$107.71	$126.72	$136.34
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.55 / $75.50 / $78.31	Professional	26	$61.55	$75.50	$78.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $44.26 / $70.94 / $135.93	Professional		$44.26	$70.94	$135.93
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $26.94 / $52.33 / $89.76	Professional	26	$26.94	$52.33	$89.76
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $131.69 / $131.69 / $131.69	Facility	26	$131.69	$131.69	$131.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $53.94 / $107.76 / $358.08	Professional		$53.94	$107.76	$358.08
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $32.84 / $66.20 / $210.00	Professional	26	$32.84	$66.20	$210.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $68.00 / $107.71 / $139.50	Professional		$68.00	$107.71	$139.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $21.58 / $44.31 / $94.44	Professional		$21.58	$44.31	$94.44
United Facility/Professional Professional Modifier Low / Median / High Price $51.21 / $99.89 / $144.96	Professional		$51.21	$99.89	$144.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $32.15 / $58.07 / $89.07	Professional	26	$32.15	$58.07	$89.07
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $93.30 / $93.30 / $109.80	Professional		$93.30	$93.30	$109.80
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $54.80 / $54.80 / $64.50	Professional	26	$54.80	$54.80	$64.50