Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.73 / $41.47 / $87.68	Facility	26	$22.73	$41.47	$87.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.47 / $92.18 / $203.85	Professional		$65.47	$92.18	$203.85
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.71 / $23.46 / $95.31	Professional	26	$16.71	$23.46	$95.31
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $55.23 / $56.89 / $58.54	Facility	26	$55.23	$56.89	$58.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.98 / $183.07 / $253.19	Professional		$101.98	$183.07	$253.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.74 / $55.85 / $69.81	Professional	26	$20.74	$55.85	$69.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $68.48 / $126.94 / $320.95	Professional		$68.48	$126.94	$320.95
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $22.80 / $32.72 / $58.56	Professional	26	$22.80	$32.72	$58.56
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $58.07 / $110.49 / $110.49	Facility	26	$58.07	$110.49	$110.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $76.23 / $138.62 / $676.85	Professional		$76.23	$138.62	$676.85
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $20.69 / $32.51 / $153.55	Professional	26	$20.69	$32.51	$153.55
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $56.89 / $58.54 / $135.78	Facility	26	$56.89	$58.54	$135.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $146.40 / $177.26 / $264.92	Professional		$146.40	$177.26	$264.92
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $25.54 / $74.48 / $206.66	Professional		$25.54	$74.48	$206.66
United Facility/Professional Professional Modifier Low / Median / High Price $71.31 / $90.26 / $162.22	Professional		$71.31	$90.26	$162.22
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.93 / $29.95 / $51.43	Professional	26	$22.93	$29.95	$51.43
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $105.54 / $133.60 / $157.19	Professional		$105.54	$133.60	$157.19
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $32.94 / $41.70 / $49.00	Professional	26	$32.94	$41.70	$49.00