Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $84.03 / $158.10 / $291.08	Facility	26	$84.03	$158.10	$291.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.14 / $133.68 / $205.74	Professional		$116.14	$133.68	$205.74
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $157.01 / $161.72 / $166.43	Facility	26	$157.01	$161.72	$166.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.66 / $305.63 / $397.26	Professional		$132.66	$305.63	$397.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $118.96 / $180.72 / $366.42	Professional		$118.96	$180.72	$366.42
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $63.91 / $92.40 / $157.29	Professional	26	$63.91	$92.40	$157.29
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $161.72 / $308.83 / $308.83	Facility	26	$161.72	$308.83	$308.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $128.47 / $194.09 / $1,209.00	Professional		$128.47	$194.09	$1,209.00
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $161.72 / $166.43 / $374.22	Facility	26	$161.72	$166.43	$374.22
Midlands Facility/Professional Professional Modifier Low / Median / High Price $201.00 / $283.23 / $387.41	Professional		$201.00	$283.23	$387.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $63.57 / $118.81 / $224.96	Professional		$63.57	$118.81	$224.96
United Facility/Professional Professional Modifier Low / Median / High Price $118.35 / $147.94 / $256.41	Professional		$118.35	$147.94	$256.41
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $179.49 / $227.20 / $267.30	Professional		$179.49	$227.20	$267.30