Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $101.36 / $229.57 / $424.01	Facility	26	$101.36	$229.57	$424.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $435.69 / $494.18 / $1,025.99	Professional		$435.69	$494.18	$1,025.99
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $74.02 / $140.00 / $167.79	Professional	26	$74.02	$140.00	$167.79
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $226.32 / $233.11 / $239.90	Facility	26	$226.32	$233.11	$239.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $887.39 / $996.25 / $1,307.88	Professional		$887.39	$996.25	$1,307.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $149.44 / $165.39 / $212.58	Professional	26	$149.44	$165.39	$212.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $359.81 / $559.49 / $875.32	Professional		$359.81	$559.49	$875.32
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $65.59 / $105.48 / $167.99	Professional	26	$65.59	$105.48	$167.99
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $233.11 / $661.44 / $661.44	Facility	26	$233.11	$661.44	$661.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $475.70 / $834.63 / $2,775.50	Professional		$475.70	$834.63	$2,775.50
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $76.40 / $125.56 / $439.61	Professional	26	$76.40	$125.56	$439.61
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $233.11 / $239.90 / $393.78	Facility	26	$233.11	$239.90	$393.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $740.06 / $887.39 / $1,411.76	Professional		$740.06	$887.39	$1,411.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $734.40 / $802.90 / $1,179.00	Professional		$734.40	$802.90	$1,179.00
United Facility/Professional Professional Modifier Low / Median / High Price $475.70 / $648.67 / $1,354.91	Professional		$475.70	$648.67	$1,354.91
United Facility/Professional Professional Modifier 26 Low / Median / High Price $76.14 / $121.98 / $220.33	Professional	26	$76.14	$121.98	$220.33
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $928.30 / $928.30 / $1,092.09	Professional		$928.30	$928.30	$1,092.09
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $156.30 / $156.30 / $183.90	Professional	26	$156.30	$156.30	$183.90