Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $86.94 / $169.84 / $311.50	Facility	26	$86.94	$169.84	$311.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.10 / $117.25 / $223.26	Professional		$99.10	$117.25	$223.26
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $169.28 / $174.36 / $179.44	Facility	26	$169.28	$174.36	$179.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.60 / $263.17 / $452.79	Professional		$151.60	$263.17	$452.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $101.74 / $184.35 / $852.67	Professional		$101.74	$184.35	$852.67
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $49.82 / $79.12 / $241.59	Professional	26	$49.82	$79.12	$241.59
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $174.36 / $240.69 / $240.69	Facility	26	$174.36	$240.69	$240.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $129.54 / $236.93 / $3,401.00	Professional		$129.54	$236.93	$3,401.00
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $174.36 / $179.44 / $284.58	Facility	26	$174.36	$179.44	$284.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $211.73 / $277.06 / $804.00	Professional		$211.73	$277.06	$804.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $149.90 / $149.90 / $500.20	Professional		$149.90	$149.90	$500.20
United Facility/Professional Professional Modifier Low / Median / High Price $117.76 / $153.35 / $278.70	Professional		$117.76	$153.35	$278.70
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $154.29 / $195.30 / $229.70	Professional		$154.29	$195.30	$229.70