Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $92.04 / $92.04 / $92.04	Facility	26	$92.04	$92.04	$92.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $192.52 / $209.73 / $522.50	Professional		$192.52	$209.73	$522.50
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $203.45 / $209.55 / $215.66	Facility	26	$203.45	$209.55	$215.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $227.75 / $504.98 / $674.95	Professional		$227.75	$504.98	$674.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $212.72 / $293.43 / $1,115.05	Professional		$212.72	$293.43	$1,115.05
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $69.69 / $97.38 / $350.65	Professional	26	$69.69	$97.38	$350.65
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $495.28 / $641.60 / $641.60	Facility	26	$495.28	$641.60	$641.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $274.99 / $458.32 / $1,445.91	Professional		$274.99	$458.32	$1,445.91
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $209.55 / $215.66 / $380.94	Facility	26	$209.55	$215.66	$380.94
Midlands Facility/Professional Professional Modifier Low / Median / High Price $415.12 / $458.99 / $730.21	Professional		$415.12	$458.99	$730.21
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $67.88 / $200.61 / $352.73	Professional		$67.88	$200.61	$352.73
United Facility/Professional Professional Modifier Low / Median / High Price $252.08 / $348.63 / $893.04	Professional		$252.08	$348.63	$893.04
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $379.36 / $480.20 / $564.90	Professional		$379.36	$480.20	$564.90