Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.02 / $12.02 / $63.10	Facility	26	$12.02	$12.02	$63.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $112.20 / $478.63	Professional		$46.77	$112.20	$478.63
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.75 / $29.51 / $128.82	Professional	26	$11.75	$29.51	$128.82
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.31 / $37.15 / $38.90	Facility	26	$36.31	$37.15	$38.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $112.20 / $154.88	Professional		$61.66	$112.20	$154.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.49 / $26.92 / $33.88	Professional	26	$15.49	$26.92	$33.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $74.13 / $398.11	Professional		$40.74	$74.13	$398.11
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $19.50 / $91.20	Professional	26	$10.96	$19.50	$91.20
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $27.54 / $79.43 / $79.43	Facility	26	$27.54	$79.43	$79.43
Medica Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $97.72 / $354.81	Professional		$56.23	$97.72	$354.81
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $18.20 / $74.13	Professional	26	$12.02	$18.20	$74.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $120.23 / $154.88	Professional		$91.20	$120.23	$154.88
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $28.84 / $39.81	Professional	26	$23.99	$28.84	$39.81
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $38.90 / $38.90 / $38.90	Facility	26	$38.90	$38.90	$38.90
Midlands Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $147.91	Professional		$107.15	$107.15	$147.91
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $23.44 / $25.12 / $36.31	Professional	26	$23.44	$25.12	$36.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $34.67 / $75.86	Professional		$11.75	$34.67	$75.86
United Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $79.43 / $154.88	Professional		$52.48	$79.43	$154.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $16.98 / $36.31	Professional	26	$12.02	$16.98	$36.31
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $120.23	Professional		$102.33	$102.33	$120.23
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $26.30 / $26.30 / $30.90	Professional	26	$26.30	$26.30	$30.90