Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.89 / $23.44 / $52.48	Facility	26	$20.89	$23.44	$52.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $81.28 / $275.42	Professional		$54.95	$81.28	$275.42
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $36.31 / $104.71	Professional	26	$19.05	$36.31	$104.71
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.95 / $57.54 / $58.88	Facility	26	$54.95	$57.54	$58.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $186.21 / $239.88	Professional		$107.15	$186.21	$239.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.44 / $57.54 / $70.79	Professional	26	$23.44	$57.54	$70.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $141.25 / $371.54	Professional		$70.79	$141.25	$371.54
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $33.11 / $81.28	Professional	26	$22.91	$33.11	$81.28
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $57.54 / $109.65 / $109.65	Facility	26	$57.54	$109.65	$109.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $162.18 / $676.08	Professional		$75.86	$162.18	$676.08
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $19.50 / $32.36 / $154.88	Professional	26	$19.50	$32.36	$154.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $190.55 / $251.19	Professional		$151.36	$190.55	$251.19
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $35.48 / $60.26 / $81.28	Professional	26	$35.48	$60.26	$81.28
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $58.88 / $58.88 / $58.88	Facility	26	$58.88	$58.88	$58.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $223.87 / $251.19	Professional		$181.97	$223.87	$251.19
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $48.98 / $57.54	Professional	26	$34.67	$48.98	$57.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $72.44 / $138.04	Professional		$25.70	$72.44	$138.04
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $104.71 / $245.47	Professional		$70.79	$104.71	$245.47
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.50 / $30.20 / $52.48	Professional	26	$19.50	$30.20	$52.48
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $158.49	Professional		$134.90	$134.90	$158.49
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $41.69 / $48.98	Professional	26	$41.69	$41.69	$48.98