Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.43 / $94.90 / $175.18	Facility	26	$60.43	$94.90	$175.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.69 / $182.69 / $1,572.44	Professional		$182.69	$182.69	$1,572.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.40 / $26.40 / $180.08	Professional	26	$26.40	$26.40	$180.08
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $91.34 / $94.08 / $96.82	Facility	26	$91.34	$94.08	$96.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $432.67 / $479.38 / $599.23	Professional		$432.67	$479.38	$599.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.91 / $66.70 / $83.39	Professional	26	$61.91	$66.70	$83.39
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $175.01 / $273.06 / $405.06	Professional		$175.01	$273.06	$405.06
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $27.18 / $44.55 / $63.33	Professional	26	$27.18	$44.55	$63.33
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $94.08 / $94.08 / $94.08	Facility	26	$94.08	$94.08	$94.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $165.10 / $280.98 / $615.65	Professional		$165.10	$280.98	$615.65
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $30.36 / $34.92 / $120.19	Professional	26	$30.36	$34.92	$120.19
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $94.08 / $96.82 / $161.46	Facility	26	$94.08	$96.82	$161.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $240.00 / $400.84 / $535.46	Professional		$240.00	$400.84	$535.46
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $29.16 / $187.25 / $436.64	Professional		$29.16	$187.25	$436.64
United Facility/Professional Professional Modifier Low / Median / High Price $166.32 / $237.35 / $456.18	Professional		$166.32	$237.35	$456.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.17 / $34.92 / $72.93	Professional	26	$30.17	$34.92	$72.93
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $274.20 / $347.10 / $408.40	Professional		$274.20	$347.10	$408.40
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $39.26 / $49.70 / $58.40	Professional	26	$39.26	$49.70	$58.40