Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $169.53 / $169.53 / $437.98	Facility	26	$169.53	$169.53	$437.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $279.88 / $425.00 / $674.39	Professional		$279.88	$425.00	$674.39
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $84.75 / $118.27 / $145.65	Professional	26	$84.75	$118.27	$145.65
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $285.32 / $293.88 / $302.44	Facility	26	$285.32	$293.88	$302.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.10 / $664.91 / $1,231.64	Professional		$407.10	$664.91	$1,231.64
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $89.16 / $191.60 / $263.39	Professional	26	$89.16	$191.60	$263.39
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $242.38 / $449.26 / $1,568.72	Professional		$242.38	$449.26	$1,568.72
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $78.38 / $128.58 / $431.60	Professional	26	$78.38	$128.58	$431.60
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $612.55 / $789.76 / $789.76	Facility	26	$612.55	$789.76	$789.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $351.31 / $585.52 / $3,480.43	Professional		$351.31	$585.52	$3,480.43
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $93.56 / $146.10 / $701.72	Professional	26	$93.56	$146.10	$701.72
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $293.88 / $302.44 / $468.60	Facility	26	$293.88	$302.44	$468.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $525.82 / $664.91 / $1,049.00	Professional		$525.82	$664.91	$1,049.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $84.04 / $255.28 / $453.34	Professional		$84.04	$255.28	$453.34
United Facility/Professional Professional Modifier Low / Median / High Price $322.04 / $463.35 / $910.07	Professional		$322.04	$463.35	$910.07
United Facility/Professional Professional Modifier 26 Low / Median / High Price $90.94 / $130.83 / $266.99	Professional	26	$90.94	$130.83	$266.99
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $487.51 / $617.10 / $726.00	Professional		$487.51	$617.10	$726.00
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $147.65 / $186.90 / $219.80	Professional	26	$147.65	$186.90	$219.80