Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $102.00 / $221.02 / $570.15	Facility	26	$102.00	$221.02	$570.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $287.26 / $425.00 / $700.00	Professional		$287.26	$425.00	$700.00
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $350.93 / $361.46 / $371.99	Facility	26	$350.93	$361.46	$371.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $349.47 / $680.58 / $1,040.83	Professional		$349.47	$680.58	$1,040.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $248.35 / $370.26 / $1,939.41	Professional		$248.35	$370.26	$1,939.41
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $102.51 / $149.22 / $739.74	Professional	26	$102.51	$149.22	$739.74
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $800.32 / $1,031.35 / $1,031.35	Facility	26	$800.32	$1,031.35	$1,031.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $361.28 / $562.67 / $3,148.28	Professional		$361.28	$562.67	$3,148.28
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $361.46 / $371.99 / $613.62	Facility	26	$361.46	$371.99	$613.62
Midlands Facility/Professional Professional Modifier Low / Median / High Price $538.90 / $658.39 / $953.26	Professional		$538.90	$658.39	$953.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $110.54 / $260.33 / $471.76	Professional		$110.54	$260.33	$471.76
United Facility/Professional Professional Modifier Low / Median / High Price $331.18 / $455.24 / $933.91	Professional		$331.18	$455.24	$933.91
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $495.17 / $626.79 / $737.40	Professional		$495.17	$626.79	$737.40