Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $44.72 / $86.15 / $158.93	Facility	26	$44.72	$86.15	$158.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.45 / $46.88 / $98.00	Professional		$43.45	$46.88	$98.00
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $82.97 / $85.46 / $87.95	Facility	26	$82.97	$85.46	$87.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.04 / $112.48 / $140.60	Professional		$64.04	$112.48	$140.60
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $43.81 / $88.48 / $315.89	Professional		$43.81	$88.48	$315.89
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $24.46 / $38.76 / $136.24	Professional	26	$24.46	$38.76	$136.24
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $85.46 / $118.08 / $118.08	Facility	26	$85.46	$118.08	$118.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $51.94 / $90.19 / $400.20	Professional		$51.94	$90.19	$400.20
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $85.46 / $87.95 / $148.44	Facility	26	$85.46	$87.95	$148.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $88.46 / $107.16 / $139.03	Professional		$88.46	$107.16	$139.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $21.26 / $42.07 / $82.59	Professional		$21.26	$42.07	$82.59
United Facility/Professional Professional Modifier Low / Median / High Price $49.47 / $63.66 / $124.58	Professional		$49.47	$63.66	$124.58
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $67.47 / $85.40 / $100.40	Professional		$67.47	$85.40	$100.40