Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.81 / $114.13 / $127.25	Professional		$96.81	$114.13	$127.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.64 / $22.64 / $25.24	Professional	26	$19.64	$22.64	$25.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.18 / $227.48 / $345.88	Professional		$77.18	$227.48	$345.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.70 / $48.00 / $83.58	Professional	26	$21.70	$48.00	$83.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $46.88 / $183.00 / $272.81	Professional		$46.88	$183.00	$272.81
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $26.54 / $42.67 / $94.42	Professional	26	$26.54	$42.67	$94.42
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $118.08 / $118.08 / $118.08	Facility	26	$118.08	$118.08	$118.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $104.54 / $181.89 / $888.56	Professional		$104.54	$181.89	$888.56
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $26.36 / $42.23 / $239.41	Professional	26	$26.36	$42.23	$239.41
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $69.98 / $69.98 / $69.98	Facility	26	$69.98	$69.98	$69.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $107.41 / $199.00 / $311.70	Professional		$107.41	$199.00	$311.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $25.90 / $121.73 / $223.86	Professional		$25.90	$121.73	$223.86
United Facility/Professional Professional Modifier Low / Median / High Price $83.06 / $104.62 / $227.93	Professional		$83.06	$104.62	$227.93
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.10 / $27.95 / $72.67	Professional	26	$27.10	$27.95	$72.67
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $230.40 / $271.00 / $318.70	Professional		$230.40	$271.00	$318.70
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $44.30 / $52.10 / $61.20	Professional	26	$44.30	$52.10	$61.20