Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.05 / $26.67 / $49.26	Facility	26	$11.05	$26.67	$49.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.22 / $31.62 / $41.16	Professional		$28.22	$31.62	$41.16
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.37 / $29.22 / $30.07	Facility	26	$28.37	$29.22	$30.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.72 / $79.90 / $99.87	Professional		$32.72	$79.90	$99.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $33.65 / $46.76 / $134.01	Professional		$33.65	$46.76	$134.01
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $8.19 / $11.58 / $32.29	Professional	26	$8.19	$11.58	$32.29
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $29.22 / $70.00 / $70.00	Facility	26	$29.22	$70.00	$70.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $30.99 / $49.01 / $155.27	Professional		$30.99	$49.01	$155.27
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $29.22 / $30.07 / $44.82	Facility	26	$29.22	$30.07	$44.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $62.60 / $73.30 / $116.62	Professional		$62.60	$73.30	$116.62
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $8.07 / $27.69 / $56.98	Professional		$8.07	$27.69	$56.98
United Facility/Professional Professional Modifier Low / Median / High Price $27.50 / $41.50 / $83.44	Professional		$27.50	$41.50	$83.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $50.17 / $63.50 / $74.70	Professional		$50.17	$63.50	$74.70