Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.95 / $85.37 / $157.83	Facility	26	$43.95	$85.37	$157.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.18 / $125.06 / $191.97	Professional		$109.18	$125.06	$191.97
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.88 / $27.29 / $45.11	Professional	26	$23.88	$27.29	$45.11
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $88.61 / $91.27 / $93.93	Facility	26	$88.61	$91.27	$93.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.97 / $251.33 / $362.80	Professional		$120.97	$251.33	$362.80
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.97 / $68.26 / $90.53	Professional	26	$30.97	$68.26	$90.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $94.06 / $158.43 / $321.89	Professional		$94.06	$158.43	$321.89
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $28.23 / $44.15 / $72.45	Professional	26	$28.23	$44.15	$72.45
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $91.27 / $137.78 / $137.78	Facility	26	$91.27	$137.78	$137.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $126.46 / $207.40 / $963.76	Professional		$126.46	$207.40	$963.76
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $27.78 / $36.18 / $236.11	Professional	26	$27.78	$36.18	$236.11
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $91.27 / $93.93 / $166.32	Facility	26	$91.27	$93.93	$166.32
Midlands Facility/Professional Professional Modifier Low / Median / High Price $205.77 / $229.86 / $365.68	Professional		$205.77	$229.86	$365.68
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $31.74 / $88.06 / $194.26	Professional		$31.74	$88.06	$194.26
United Facility/Professional Professional Modifier Low / Median / High Price $120.14 / $151.76 / $253.86	Professional		$120.14	$151.76	$253.86
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.78 / $35.51 / $57.20	Professional	26	$27.78	$35.51	$57.20
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $145.68 / $184.40 / $217.00	Professional		$145.68	$184.40	$217.00
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $41.08 / $52.00 / $61.10	Professional	26	$41.08	$52.00	$61.10