Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $160.37 / $160.37 / $440.14	Facility	26	$160.37	$160.37	$440.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $252.89 / $297.27 / $545.55	Professional		$252.89	$297.27	$545.55
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.00 / $85.10 / $191.25	Professional	26	$55.00	$85.10	$191.25
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $267.50 / $275.52 / $283.55	Facility	26	$267.50	$275.52	$283.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $368.03 / $708.21 / $1,019.48	Professional		$368.03	$708.21	$1,019.48
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $90.25 / $192.37 / $263.72	Professional	26	$90.25	$192.37	$263.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $264.08 / $454.56 / $1,289.33	Professional		$264.08	$454.56	$1,289.33
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $79.09 / $129.26 / $295.76	Professional	26	$79.09	$129.26	$295.76
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $618.08 / $792.40 / $792.40	Facility	26	$618.08	$792.40	$792.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $337.08 / $568.00 / $2,854.54	Professional		$337.08	$568.00	$2,854.54
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $89.41 / $114.14 / $536.20	Professional	26	$89.41	$114.14	$536.20
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $275.52 / $283.55 / $469.68	Facility	26	$275.52	$283.55	$469.68
Midlands Facility/Professional Professional Modifier Low / Median / High Price $490.73 / $639.53 / $909.10	Professional		$490.73	$639.53	$909.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $85.01 / $215.46 / $495.25	Professional		$85.01	$215.46	$495.25
United Facility/Professional Professional Modifier Low / Median / High Price $321.76 / $399.05 / $698.68	Professional		$321.76	$399.05	$698.68
United Facility/Professional Professional Modifier 26 Low / Median / High Price $87.65 / $110.00 / $199.03	Professional	26	$87.65	$110.00	$199.03
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $458.83 / $580.79 / $683.30	Professional		$458.83	$580.79	$683.30
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $128.30 / $162.40 / $191.00	Professional	26	$128.30	$162.40	$191.00