Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.93 / $66.72 / $203.25	Facility	26	$35.93	$66.72	$203.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.76 / $269.95 / $2,369.84	Professional		$250.76	$269.95	$2,369.84
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $122.30 / $125.97 / $129.63	Facility	26	$122.30	$125.97	$129.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $596.33 / $660.90 / $826.12	Professional		$596.33	$660.90	$826.12
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $241.23 / $400.37 / $763.04	Professional		$241.23	$400.37	$763.04
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $36.08 / $63.67 / $109.50	Professional	26	$36.08	$63.67	$109.50
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $125.97 / $125.97 / $125.97	Facility	26	$125.97	$125.97	$125.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $281.14 / $448.97 / $948.71	Professional		$281.14	$448.97	$948.71
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $125.97 / $129.63 / $215.82	Facility	26	$125.97	$129.63	$215.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $449.00 / $618.00 / $840.58	Professional		$449.00	$618.00	$840.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $38.57 / $255.98 / $584.92	Professional		$38.57	$255.98	$584.92
United Facility/Professional Professional Modifier Low / Median / High Price $281.14 / $339.00 / $594.85	Professional		$281.14	$339.00	$594.85
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $378.02 / $478.50 / $562.90	Professional		$378.02	$478.50	$562.90