Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $122.77 / $247.06 / $456.50	Facility	26	$122.77	$247.06	$456.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.99 / $425.00 / $522.50	Professional		$275.99	$425.00	$522.50
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $243.17 / $250.47 / $257.76	Facility	26	$243.17	$250.47	$257.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.97 / $659.53 / $1,309.95	Professional		$398.97	$659.53	$1,309.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $237.19 / $407.12 / $1,587.06	Professional		$237.19	$407.12	$1,587.06
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $71.20 / $116.92 / $407.94	Professional	26	$71.20	$116.92	$407.94
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $556.32 / $717.20 / $717.20	Facility	26	$556.32	$717.20	$717.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $577.90 / $3,348.15	Professional		$346.74	$577.90	$3,348.15
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $250.47 / $257.76 / $425.76	Facility	26	$250.47	$257.76	$425.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $516.66 / $662.48 / $1,037.00	Professional		$516.66	$662.48	$1,037.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $76.29 / $250.33 / $443.59	Professional		$76.29	$250.33	$443.59
United Facility/Professional Professional Modifier Low / Median / High Price $317.85 / $505.66 / $764.66	Professional		$317.85	$505.66	$764.66
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $478.11 / $605.20 / $712.00	Professional		$478.11	$605.20	$712.00