Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $125.59 / $269.98 / $501.94	Facility	26	$125.59	$269.98	$501.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.73 / $65.56 / $177.89	Professional		$59.73	$65.56	$177.89
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $571.50 / $571.50 / $571.50	Professional	50	$571.50	$571.50	$571.50
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $299.79 / $308.77 / $317.77	Facility	26	$299.79	$308.77	$317.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.47 / $180.11 / $444.65	Professional		$131.47	$180.11	$444.65
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $60.40 / $111.55 / $459.49	Professional		$60.40	$111.55	$459.49
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $35.42 / $64.76 / $221.82	Professional	26	$35.42	$64.76	$221.82
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $308.77 / $327.96 / $327.96	Facility	26	$308.77	$327.96	$327.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $94.38 / $158.68 / $891.97	Professional		$94.38	$158.68	$891.97
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $217.38 / $317.77 / $317.77	Facility	26	$217.38	$317.77	$317.77
Midlands Facility/Professional Professional Modifier Low / Median / High Price $136.21 / $194.86 / $359.17	Professional		$136.21	$194.86	$359.17
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $89.30 / $89.30 / $470.10	Professional		$89.30	$89.30	$470.10
United Facility/Professional Professional Modifier Low / Median / High Price $90.09 / $131.27 / $225.29	Professional		$90.09	$131.27	$225.29
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $95.12 / $120.40 / $141.60	Professional		$95.12	$120.40	$141.60