Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $95.12 / $151.60 / $279.99	Facility	26	$95.12	$151.60	$279.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.58 / $203.94 / $643.42	Professional		$172.58	$203.94	$643.42
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.60 / $53.68 / $105.96	Professional	26	$42.60	$53.68	$105.96
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $146.44 / $150.84 / $155.24	Facility	26	$146.44	$150.84	$155.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.83 / $505.76 / $632.20	Professional		$195.83	$505.76	$632.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.43 / $134.97 / $168.71	Professional	26	$56.43	$134.97	$168.71
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $188.08 / $279.95 / $395.59	Professional		$188.08	$279.95	$395.59
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $55.29 / $85.07 / $130.88	Professional	26	$55.29	$85.07	$130.88
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $150.84 / $267.93 / $267.93	Facility	26	$150.84	$267.93	$267.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $206.00 / $314.95 / $1,471.51	Professional		$206.00	$314.95	$1,471.51
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $54.13 / $80.02 / $378.45	Professional	26	$54.13	$80.02	$378.45
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $150.84 / $155.24 / $331.02	Facility	26	$150.84	$155.24	$331.02
Midlands Facility/Professional Professional Modifier Low / Median / High Price $257.22 / $437.77 / $560.86	Professional		$257.22	$437.77	$560.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $59.32 / $192.85 / $354.43	Professional		$59.32	$192.85	$354.43
United Facility/Professional Professional Modifier Low / Median / High Price $207.26 / $269.89 / $444.40	Professional		$207.26	$269.89	$444.40
United Facility/Professional Professional Modifier 26 Low / Median / High Price $58.38 / $73.73 / $122.90	Professional	26	$58.38	$73.73	$122.90
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $290.95 / $368.30 / $433.20	Professional		$290.95	$368.30	$433.20
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $79.87 / $101.10 / $118.90	Professional	26	$79.87	$101.10	$118.90