Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $107.33 / $107.33 / $107.33	Facility	26	$107.33	$107.33	$107.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $337.12 / $397.85 / $443.57	Professional		$337.12	$397.85	$443.57
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.49 / $65.00 / $296.45	Professional	26	$56.49	$65.00	$296.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $272.54 / $885.00 / $1,413.68	Professional		$272.54	$885.00	$1,413.68
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.12 / $137.00 / $250.57	Professional	26	$61.12	$137.00	$250.57
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $174.51 / $657.35 / $988.53	Professional		$174.51	$657.35	$988.53
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $76.30 / $123.23 / $213.47	Professional	26	$76.30	$123.23	$213.47
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $340.61 / $340.61 / $340.61	Facility	26	$340.61	$340.61	$340.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $361.12 / $670.88 / $3,261.22	Professional		$361.12	$670.88	$3,261.22
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $73.45 / $119.64 / $665.00	Professional	26	$73.45	$119.64	$665.00
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $195.95 / $195.95 / $195.95	Facility	26	$195.95	$195.95	$195.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $522.74 / $786.62 / $1,095.89	Professional		$522.74	$786.62	$1,095.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $73.90 / $441.69 / $812.27	Professional		$73.90	$441.69	$812.27
United Facility/Professional Professional Modifier Low / Median / High Price $361.12 / $394.10 / $875.86	Professional		$361.12	$394.10	$875.86
United Facility/Professional Professional Modifier 26 Low / Median / High Price $77.00 / $79.37 / $180.40	Professional	26	$77.00	$79.37	$180.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $837.40 / $985.20 / $1,158.70	Professional		$837.40	$985.20	$1,158.70
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $127.70 / $150.19 / $176.60	Professional	26	$127.70	$150.19	$176.60