Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.94 / $60.94 / $60.94	Facility	26	$60.94	$60.94	$60.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $314.19 / $338.25 / $464.96	Professional		$314.19	$338.25	$464.96
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $125.94 / $129.72 / $133.50	Facility	26	$125.94	$129.72	$133.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $382.30 / $834.65 / $1,043.32	Professional		$382.30	$834.65	$1,043.32
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $345.27 / $474.39 / $1,571.27	Professional		$345.27	$474.39	$1,571.27
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $46.24 / $64.83 / $204.54	Professional	26	$46.24	$64.83	$204.54
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $129.72 / $204.38 / $204.38	Facility	26	$129.72	$204.38	$204.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $371.10 / $554.92 / $1,769.26	Professional		$371.10	$554.92	$1,769.26
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $129.72 / $133.50 / $252.60	Facility	26	$129.72	$133.50	$252.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $563.28 / $752.91 / $1,197.81	Professional		$563.28	$752.91	$1,197.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $45.45 / $322.63 / $569.91	Professional		$45.45	$322.63	$569.91
United Facility/Professional Professional Modifier Low / Median / High Price $369.95 / $449.08 / $822.40	Professional		$369.95	$449.08	$822.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $477.24 / $604.10 / $710.70	Professional		$477.24	$604.10	$710.70