Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $210.74 / $450.94 / $833.74	Facility	26	$210.74	$450.94	$833.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $425.00 / $465.01 / $754.50	Professional		$425.00	$465.01	$754.50
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $455.58 / $469.25 / $482.91	Facility	26	$455.58	$469.25	$482.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $564.82 / $1,034.90 / $1,685.85	Professional		$564.82	$1,034.90	$1,685.85
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $374.37 / $560.12 / $3,774.37	Professional		$374.37	$560.12	$3,774.37
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $130.09 / $188.96 / $987.98	Professional	26	$130.09	$188.96	$987.98
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $1,014.88 / $1,307.92 / $1,307.92	Facility	26	$1,014.88	$1,307.92	$1,307.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $559.28 / $899.51 / $4,924.22	Professional		$559.28	$899.51	$4,924.22
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $469.25 / $482.91 / $779.70	Facility	26	$469.25	$482.91	$779.70
Midlands Facility/Professional Professional Modifier Low / Median / High Price $819.45 / $1,020.63 / $1,445.71	Professional		$819.45	$1,020.63	$1,445.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $139.97 / $404.24 / $721.57	Professional		$139.97	$404.24	$721.57
United Facility/Professional Professional Modifier Low / Median / High Price $505.25 / $776.79 / $1,449.64	Professional		$505.25	$776.79	$1,449.64
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $750.97 / $950.60 / $1,118.40	Professional		$750.97	$950.60	$1,118.40