Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.12 / $37.65 / $69.67	Facility	26	$16.12	$37.65	$69.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.70 / $97.35 / $475.00	Professional		$46.70	$97.35	$475.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.98 / $25.54 / $140.00	Professional	26	$11.98	$25.54	$140.00
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.47 / $37.56 / $38.65	Facility	26	$36.47	$37.56	$38.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.99 / $113.02 / $165.17	Professional		$55.99	$113.02	$165.17
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.42 / $26.37 / $36.68	Professional	26	$12.42	$26.37	$36.68
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $39.59 / $59.52 / $350.05	Professional		$39.59	$59.52	$350.05
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $10.94 / $15.85 / $85.50	Professional	26	$10.94	$15.85	$85.50
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $27.85 / $80.00 / $80.00	Facility	26	$27.85	$80.00	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $58.93 / $94.78 / $353.51	Professional		$58.93	$94.78	$353.51
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $12.60 / $18.18 / $74.64	Professional	26	$12.60	$18.18	$74.64
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $37.56 / $38.65 / $65.94	Facility	26	$37.56	$38.65	$65.94
Midlands Facility/Professional Professional Modifier Low / Median / High Price $87.59 / $106.89 / $153.97	Professional		$87.59	$106.89	$153.97
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.70 / $40.72 / $76.40	Professional		$11.70	$40.72	$76.40
United Facility/Professional Professional Modifier Low / Median / High Price $54.02 / $79.39 / $153.06	Professional		$54.02	$79.39	$153.06
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.48 / $18.18 / $37.03	Professional	26	$12.48	$18.18	$37.03
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $79.95 / $101.20 / $119.10	Professional		$79.95	$101.20	$119.10
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $20.62 / $26.10 / $30.70	Professional	26	$20.62	$26.10	$30.70