Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $91.67 / $176.96 / $327.57	Facility	26	$91.67	$176.96	$327.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.02 / $186.02 / $1,514.62	Professional		$186.02	$186.02	$1,514.62
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $176.00 / $181.28 / $186.56	Facility	26	$176.00	$181.28	$186.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.18 / $491.02 / $613.77	Professional		$446.18	$491.02	$613.77
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $182.69 / $314.16 / $689.46	Professional		$182.69	$314.16	$689.46
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $51.30 / $92.65 / $182.30	Professional	26	$51.30	$92.65	$182.30
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $181.28 / $181.28 / $181.28	Facility	26	$181.28	$181.28	$181.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $226.16 / $347.02 / $1,160.95	Professional		$226.16	$347.02	$1,160.95
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $181.28 / $186.56 / $308.22	Facility	26	$181.28	$186.56	$308.22
Midlands Facility/Professional Professional Modifier Low / Median / High Price $396.76 / $513.86 / $663.00	Professional		$396.76	$513.86	$663.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $54.94 / $194.89 / $434.94	Professional		$54.94	$194.89	$434.94
United Facility/Professional Professional Modifier Low / Median / High Price $214.04 / $259.05 / $475.81	Professional		$214.04	$259.05	$475.81
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $282.82 / $358.00 / $421.20	Professional		$282.82	$358.00	$421.20