Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $133.06 / $133.06 / $133.06	Facility	26	$133.06	$133.06	$133.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $306.00 / $358.60 / $560.26	Professional		$306.00	$358.60	$560.26
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $294.33 / $303.16 / $311.99	Facility	26	$294.33	$303.16	$311.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $362.42 / $800.52 / $1,072.49	Professional		$362.42	$800.52	$1,072.49
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $336.07 / $464.61 / $1,724.29	Professional		$336.07	$464.61	$1,724.29
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $101.73 / $143.57 / $505.97	Professional	26	$101.73	$143.57	$505.97
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $728.08 / $931.68 / $931.68	Facility	26	$728.08	$931.68	$931.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $435.49 / $725.11 / $2,291.23	Professional		$435.49	$725.11	$2,291.23
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $303.16 / $311.99 / $552.48	Facility	26	$303.16	$311.99	$552.48
Midlands Facility/Professional Professional Modifier Low / Median / High Price $654.58 / $727.28 / $1,157.03	Professional		$654.58	$727.28	$1,157.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $100.21 / $305.52 / $559.15	Professional		$100.21	$305.52	$559.15
United Facility/Professional Professional Modifier Low / Median / High Price $399.20 / $616.95 / $1,129.32	Professional		$399.20	$616.95	$1,129.32
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $601.03 / $760.80 / $895.10	Professional		$601.03	$760.80	$895.10