Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $67.50 / $67.50 / $67.50	Facility	26	$67.50	$67.50	$67.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $348.93 / $384.43 / $521.51	Professional		$348.93	$384.43	$521.51
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $139.76 / $143.94 / $148.15	Facility	26	$139.76	$143.94	$148.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $453.97 / $938.60 / $1,173.25	Professional		$453.97	$938.60	$1,173.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $388.30 / $533.46 / $1,863.14	Professional		$388.30	$533.46	$1,863.14
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $49.62 / $69.23 / $222.99	Professional	26	$49.62	$69.23	$222.99
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $143.94 / $217.99 / $217.99	Facility	26	$143.94	$217.99	$217.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $435.28 / $621.96 / $2,099.39	Professional		$435.28	$621.96	$2,099.39
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $143.94 / $148.15 / $272.22	Facility	26	$143.94	$148.15	$272.22
Midlands Facility/Professional Professional Modifier Low / Median / High Price $729.88 / $871.34 / $1,347.22	Professional		$729.88	$871.34	$1,347.22
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $48.04 / $365.89 / $646.74	Professional		$48.04	$365.89	$646.74
United Facility/Professional Professional Modifier Low / Median / High Price $413.14 / $527.39 / $909.02	Professional		$413.14	$527.39	$909.02
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $536.73 / $679.40 / $799.30	Professional		$536.73	$679.40	$799.30