Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.28 / $28.79 / $53.25	Facility	26	$14.28	$28.79	$53.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.01 / $32.15 / $73.06	Professional		$28.01	$32.15	$73.06
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $8.43 / $14.20	Professional	26	$7.59	$8.43	$14.20
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.63 / $28.46 / $29.29	Facility	26	$27.63	$28.46	$29.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.43 / $79.90 / $99.87	Professional		$32.43	$79.90	$99.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.25 / $19.39 / $28.00	Professional	26	$9.25	$19.39	$28.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $29.96 / $44.79 / $105.49	Professional		$29.96	$44.79	$105.49
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $8.10 / $13.25 / $30.19	Professional	26	$8.10	$13.25	$30.19
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $28.46 / $100.00 / $100.00	Facility	26	$28.46	$100.00	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $31.02 / $50.56 / $233.00	Professional		$31.02	$50.56	$233.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $9.02 / $11.64 / $97.41	Professional	26	$9.02	$11.64	$97.41
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $28.46 / $29.29 / $48.60	Facility	26	$28.46	$29.29	$48.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $48.00 / $67.39 / $97.48	Professional		$48.00	$67.39	$97.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $8.83 / $30.63 / $57.23	Professional		$8.83	$30.63	$57.23
United Facility/Professional Professional Modifier Low / Median / High Price $31.02 / $40.39 / $80.95	Professional		$31.02	$40.39	$80.95
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.94 / $11.26 / $18.76	Professional	26	$8.94	$11.26	$18.76
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $46.45 / $58.80 / $69.20	Professional		$46.45	$58.80	$69.20
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $11.69 / $14.80 / $17.50	Professional	26	$11.69	$14.80	$17.50