Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.88 / $36.96 / $48.16	Professional		$30.88	$36.96	$48.16
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.36 / $7.41 / $10.39	Professional	26	$6.36	$7.41	$10.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.20 / $94.64 / $118.29	Professional		$35.20	$94.64	$118.29
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.52 / $17.84 / $22.88	Professional	26	$8.52	$17.84	$22.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $35.27 / $52.94 / $80.06	Professional		$35.27	$52.94	$80.06
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $7.46 / $12.19 / $19.50	Professional	26	$7.46	$12.19	$19.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $36.19 / $55.58 / $245.75	Professional		$36.19	$55.58	$245.75
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $9.90 / $56.13	Professional	26	$7.94	$9.90	$56.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $44.62 / $78.84 / $102.80	Professional		$44.62	$78.84	$102.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $54.70 / $54.70 / $107.40	Professional		$54.70	$54.70	$107.40
United Facility/Professional Professional Modifier Low / Median / High Price $36.19 / $46.16 / $73.16	Professional		$36.19	$46.16	$73.16
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.56 / $9.52 / $15.86	Professional	26	$7.56	$9.52	$15.86
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $55.06 / $69.70 / $81.90	Professional		$55.06	$69.70	$81.90
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $10.82 / $13.70 / $16.10	Professional	26	$10.82	$13.70	$16.10