Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $100.00 / $151.36	Professional		$69.18	$100.00	$151.36
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $97.72 / $575.44	Professional	26	$19.05	$97.72	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $229.09 / $346.74	Professional		$77.62	$229.09	$346.74
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $47.86 / $83.18	Professional	26	$21.88	$47.86	$83.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $181.97 / $275.42	Professional		$117.49	$181.97	$275.42
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $42.66 / $120.23	Professional	26	$34.67	$42.66	$120.23
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $117.49 / $117.49 / $117.49	Facility	26	$117.49	$117.49	$117.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $199.53 / $891.25	Professional		$93.33	$199.53	$891.25
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $53.70 / $239.88	Professional	26	$25.70	$53.70	$239.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $245.47 / $346.74	Professional		$154.88	$245.47	$346.74
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $30.90 / $48.98 / $83.18	Professional	26	$30.90	$48.98	$83.18
Midlands Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $181.97 / $288.40	Professional		$144.54	$181.97	$288.40
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $53.70 / $53.70	Professional	26	$38.90	$53.70	$53.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $123.03 / $251.19	Professional		$26.30	$123.03	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $112.20 / $281.84	Professional		$93.33	$112.20	$281.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.92 / $28.18 / $77.62	Professional	26	$26.92	$28.18	$77.62
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $269.15 / $316.23	Professional		$229.09	$269.15	$316.23
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $44.67 / $52.48 / $61.66	Professional	26	$44.67	$52.48	$61.66