Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $1,305.73 / $1,750.90 / $3,236.60	Facility	26	$1,305.73	$1,750.90	$3,236.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $740.75 / $1,330.94 / $5,011.02	Professional		$740.75	$1,330.94	$5,011.02
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $441.27 / $686.51 / $2,639.84	Professional	26	$441.27	$686.51	$2,639.84
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $1,769.88 / $1,822.98 / $1,876.07	Facility	26	$1,769.88	$1,822.98	$1,876.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,814.79 / $2,183.60 / $2,729.49	Professional		$1,814.79	$2,183.60	$2,729.49
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $923.56 / $1,070.47 / $1,338.08	Professional	26	$923.56	$1,070.47	$1,338.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $831.56 / $1,275.58 / $2,034.62	Professional		$831.56	$1,275.58	$2,034.62
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $431.11 / $703.95 / $1,147.50	Professional	26	$431.11	$703.95	$1,147.50
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $1,822.98 / $1,822.98 / $1,822.98	Facility	26	$1,822.98	$1,822.98	$1,822.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $908.11 / $1,246.20 / $3,157.11	Professional		$908.11	$1,246.20	$3,157.11
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $499.77 / $681.50 / $5,024.00	Professional	26	$499.77	$681.50	$5,024.00
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $1,822.98 / $1,876.07 / $2,566.80	Facility	26	$1,822.98	$1,876.07	$2,566.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,319.29 / $1,910.58 / $2,447.62	Professional		$1,319.29	$1,910.58	$2,447.62
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $438.56 / $787.13 / $1,555.86	Professional		$438.56	$787.13	$1,555.86
United Facility/Professional Professional Modifier Low / Median / High Price $908.11 / $1,063.63 / $1,620.79	Professional		$908.11	$1,063.63	$1,620.79
United Facility/Professional Professional Modifier 26 Low / Median / High Price $499.77 / $591.63 / $876.86	Professional	26	$499.77	$591.63	$876.86
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,366.07 / $1,729.20 / $2,034.30	Professional		$1,366.07	$1,729.20	$2,034.30
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $679.16 / $859.70 / $1,011.40	Professional	26	$679.16	$859.70	$1,011.40