Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $117.94 / $284.72 / $526.51	Facility	26	$117.94	$284.72	$526.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.01 / $464.06 / $1,661.64	Professional		$257.01	$464.06	$1,661.64
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $301.74 / $310.79 / $319.83	Facility	26	$301.74	$310.79	$319.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $599.64 / $768.72 / $960.90	Professional		$599.64	$768.72	$960.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $321.75 / $443.75 / $1,317.84	Professional		$321.75	$443.75	$1,317.84
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $99.45 / $138.18 / $421.49	Professional	26	$99.45	$138.18	$421.49
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $310.79 / $310.79 / $310.79	Facility	26	$310.79	$310.79	$310.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $290.56 / $403.04 / $1,002.00	Professional		$290.56	$403.04	$1,002.00
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $310.79 / $319.83 / $537.24	Facility	26	$310.79	$319.83	$537.24
Midlands Facility/Professional Professional Modifier Low / Median / High Price $443.15 / $632.21 / $883.16	Professional		$443.15	$632.21	$883.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $97.37 / $301.08 / $537.45	Professional		$97.37	$301.08	$537.45
United Facility/Professional Professional Modifier Low / Median / High Price $285.31 / $339.50 / $534.65	Professional		$285.31	$339.50	$534.65
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $476.61 / $603.29 / $709.80	Professional		$476.61	$603.29	$709.80