Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $68.79 / $162.31 / $301.67	Facility	26	$68.79	$162.31	$301.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.35 / $54.05 / $107.83	Professional		$47.35	$54.05	$107.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.87 / $33.86 / $55.87	Professional	26	$29.87	$33.86	$55.87
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $156.65 / $161.35 / $166.05	Facility	26	$156.65	$161.35	$166.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.45 / $144.12 / $253.45	Professional		$91.45	$144.12	$253.45
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.01 / $81.45 / $129.57	Professional	26	$47.01	$81.45	$129.57
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $51.42 / $110.26 / $236.40	Professional		$51.42	$110.26	$236.40
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $32.65 / $54.52 / $134.46	Professional	26	$32.65	$54.52	$134.46
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $161.35 / $198.30 / $198.30	Facility	26	$161.35	$198.30	$198.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $64.98 / $114.02 / $696.80	Professional		$64.98	$114.02	$696.80
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $38.65 / $53.04 / $305.45	Professional	26	$38.65	$53.04	$305.45
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $161.35 / $166.05 / $198.42	Facility	26	$161.35	$166.05	$198.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $109.83 / $153.00 / $215.05	Professional		$109.83	$153.00	$215.05
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $74.09 / $74.09 / $276.60	Professional		$74.09	$74.09	$276.60
United Facility/Professional Professional Modifier Low / Median / High Price $62.03 / $82.51 / $143.57	Professional		$62.03	$82.51	$143.57
United Facility/Professional Professional Modifier 26 Low / Median / High Price $36.81 / $46.61 / $85.91	Professional	26	$36.81	$46.61	$85.91
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $79.16 / $100.20 / $117.90	Professional		$79.16	$100.20	$117.90
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $49.22 / $62.30 / $73.20	Professional	26	$49.22	$62.30	$73.20