Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $155.15 / $155.15 / $296.99	Facility	26	$155.15	$155.15	$296.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.34 / $190.39 / $995.74	Professional		$155.34	$190.39	$995.74
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $81.66 / $88.65 / $516.00	Professional	26	$81.66	$88.65	$516.00
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $287.49 / $296.11 / $304.74	Facility	26	$287.49	$296.11	$304.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $225.27 / $415.00 / $526.62	Professional		$225.27	$415.00	$526.62
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $108.44 / $206.34 / $282.62	Professional	26	$108.44	$206.34	$282.62
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $158.56 / $292.19 / $731.72	Professional		$158.56	$292.19	$731.72
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $83.35 / $142.84 / $369.00	Professional	26	$83.35	$142.84	$369.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $296.11 / $404.21 / $404.21	Facility	26	$296.11	$404.21	$404.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $185.88 / $326.14 / $1,463.47	Professional		$185.88	$326.14	$1,463.47
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $93.06 / $121.19 / $605.95	Professional	26	$93.06	$121.19	$605.95
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $296.11 / $304.74 / $507.18	Facility	26	$296.11	$304.74	$507.18
Midlands Facility/Professional Professional Modifier Low / Median / High Price $336.81 / $378.58 / $526.62	Professional		$336.81	$378.58	$526.62
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $84.78 / $161.24 / $303.29	Professional		$84.78	$161.24	$303.29
United Facility/Professional Professional Modifier Low / Median / High Price $177.43 / $216.97 / $388.32	Professional		$177.43	$216.97	$388.32
United Facility/Professional Professional Modifier 26 Low / Median / High Price $92.50 / $111.68 / $213.86	Professional	26	$92.50	$111.68	$213.86
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $249.17 / $315.39 / $371.10	Professional		$249.17	$315.39	$371.10
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $125.06 / $158.30 / $186.20	Professional	26	$125.06	$158.30	$186.20