Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $106.68 / $245.94 / $453.84	Facility	26	$106.68	$245.94	$453.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $294.25 / $425.00 / $603.53	Professional		$294.25	$425.00	$603.53
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $237.80 / $244.93 / $252.07	Facility	26	$237.80	$244.93	$252.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $414.29 / $753.98 / $1,233.06	Professional		$414.29	$753.98	$1,233.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $278.81 / $418.95 / $1,482.08	Professional		$278.81	$418.95	$1,482.08
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $70.56 / $102.88 / $281.73	Professional	26	$70.56	$102.88	$281.73
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $551.52 / $710.88 / $710.88	Facility	26	$551.52	$710.88	$710.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $415.22 / $615.89 / $2,996.77	Professional		$415.22	$615.89	$2,996.77
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $244.93 / $252.07 / $421.80	Facility	26	$244.93	$252.07	$421.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $584.61 / $700.54 / $1,086.85	Professional		$584.61	$700.54	$1,086.85
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $429.50 / $429.50 / $1,380.10	Professional		$429.50	$429.50	$1,380.10
United Facility/Professional Professional Modifier Low / Median / High Price $377.50 / $519.17 / $1,166.52	Professional		$377.50	$519.17	$1,166.52
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $564.61 / $714.70 / $840.80	Professional		$564.61	$714.70	$840.80