Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.28 / $94.33 / $175.18	Facility	26	$40.28	$94.33	$175.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.90 / $44.06 / $78.18	Professional		$37.90	$44.06	$78.18
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.79 / $21.28 / $35.18	Professional	26	$18.79	$21.28	$35.18
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $89.85 / $92.55 / $95.24	Facility	26	$89.85	$92.55	$95.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.78 / $110.61 / $189.37	Professional		$69.78	$110.61	$189.37
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.26 / $51.97 / $74.04	Professional	26	$28.26	$51.97	$74.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $42.18 / $92.38 / $228.15	Professional		$42.18	$92.38	$228.15
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $20.76 / $36.64 / $90.03	Professional	26	$20.76	$36.64	$90.03
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $92.55 / $113.10 / $113.10	Facility	26	$92.55	$113.10	$113.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $50.06 / $87.84 / $497.00	Professional		$50.06	$87.84	$497.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $23.81 / $31.78 / $320.31	Professional	26	$23.81	$31.78	$320.31
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $92.55 / $95.24 / $124.20	Facility	26	$92.55	$95.24	$124.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $88.65 / $121.65 / $159.47	Professional		$88.65	$121.65	$159.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $61.90 / $61.90 / $208.60	Professional		$61.90	$61.90	$208.60
United Facility/Professional Professional Modifier Low / Median / High Price $48.93 / $66.77 / $112.20	Professional		$48.93	$66.77	$112.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.07 / $29.22 / $51.76	Professional	26	$23.07	$29.22	$51.76
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $65.56 / $83.00 / $97.60	Professional		$65.56	$83.00	$97.60
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $31.36 / $39.70 / $46.70	Professional	26	$31.36	$39.70	$46.70