Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $63.66 / $63.66 / $193.05	Facility	26	$63.66	$63.66	$193.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $183.31 / $254.00 / $1,408.00	Professional		$183.31	$254.00	$1,408.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.51 / $33.51 / $225.20	Professional	26	$33.51	$33.51	$225.20
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $120.71 / $124.33 / $127.95	Facility	26	$120.71	$124.33	$127.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $565.03 / $625.21 / $781.52	Professional		$565.03	$625.21	$781.52
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $79.70 / $85.33 / $106.66	Professional	26	$79.70	$85.33	$106.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $228.52 / $356.58 / $542.76	Professional		$228.52	$356.58	$542.76
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $35.00 / $56.90 / $83.32	Professional	26	$35.00	$56.90	$83.32
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $124.33 / $124.33 / $124.33	Facility	26	$124.33	$124.33	$124.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $194.41 / $363.14 / $790.49	Professional		$194.41	$363.14	$790.49
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $38.17 / $44.59 / $159.72	Professional	26	$38.17	$44.59	$159.72
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $124.33 / $127.95 / $208.20	Facility	26	$124.33	$127.95	$208.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $296.04 / $588.79 / $850.86	Professional		$296.04	$588.79	$850.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $37.86 / $242.17 / $453.88	Professional		$37.86	$242.17	$453.88
United Facility/Professional Professional Modifier Low / Median / High Price $194.58 / $306.76 / $562.80	Professional		$194.58	$306.76	$562.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $38.17 / $43.90 / $73.67	Professional	26	$38.17	$43.90	$73.67
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $358.11 / $453.30 / $533.29	Professional		$358.11	$453.30	$533.29
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $50.48 / $63.90 / $75.20	Professional	26	$50.48	$63.90	$75.20