Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $234.33 / $314.04 / $502.98	Facility	26	$234.33	$314.04	$502.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.40 / $224.78 / $456.69	Professional		$177.40	$224.78	$456.69
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $292.98 / $301.77 / $310.56	Facility	26	$292.98	$301.77	$310.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $220.42 / $573.87 / $761.16	Professional		$220.42	$573.87	$761.16
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $234.12 / $351.18 / $474.41	Professional		$234.12	$351.18	$474.41
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $93.26 / $147.09 / $207.50	Professional	26	$93.26	$147.09	$207.50
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $301.77 / $454.15 / $454.15	Facility	26	$301.77	$454.15	$454.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $213.28 / $371.08 / $1,682.32	Professional		$213.28	$371.08	$1,682.32
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $301.77 / $310.56 / $552.36	Facility	26	$301.77	$310.56	$552.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $340.00 / $500.48 / $703.01	Professional		$340.00	$500.48	$703.01
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $329.40 / $390.50 / $703.50	Professional		$329.40	$390.50	$703.50
United Facility/Professional Professional Modifier Low / Median / High Price $210.18 / $279.75 / $502.29	Professional		$210.18	$279.75	$502.29
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $351.39 / $444.80 / $523.29	Professional		$351.39	$444.80	$523.29