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 $270.02 / $425.00 / $650.14	Professional		$270.02	$425.00	$650.14
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $241.10 / $248.33 / $255.57	Facility	26	$241.10	$248.33	$255.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $392.16 / $646.91 / $1,325.62	Professional		$392.16	$646.91	$1,325.62
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $233.22 / $400.16 / $1,587.06	Professional		$233.22	$400.16	$1,587.06
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $71.20 / $116.92 / $383.71	Professional	26	$71.20	$116.92	$383.71
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 $341.25 / $568.74 / $3,348.15	Professional		$341.25	$568.74	$3,348.15
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $248.33 / $255.57 / $425.76	Facility	26	$248.33	$255.57	$425.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $512.89 / $678.48 / $1,039.00	Professional		$512.89	$678.48	$1,039.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $76.29 / $245.45 / $436.16	Professional		$76.29	$245.45	$436.16
United Facility/Professional Professional Modifier Low / Median / High Price $309.64 / $433.51 / $1,108.19	Professional		$309.64	$433.51	$1,108.19
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $469.89 / $594.79 / $699.80	Professional		$469.89	$594.79	$699.80