Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.29 / $31.08 / $46.69	Professional		$25.29	$31.08	$46.69
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.20 / $15.21 / $22.87	Professional	26	$12.20	$15.21	$22.87
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $13.08 / $16.45 / $23.81	Professional	TC	$13.08	$16.45	$23.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.17 / $64.65 / $98.23	Professional		$26.17	$64.65	$98.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.55 / $31.34 / $44.14	Professional	26	$12.55	$31.34	$44.14
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $12.96 / $37.52 / $76.18	Professional	TC	$12.96	$37.52	$76.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $24.24 / $39.09 / $102.52	Professional		$24.24	$39.09	$102.52
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $11.70 / $18.96 / $43.38	Professional	26	$11.70	$18.96	$43.38
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $12.40 / $17.45 / $51.59	Professional	TC	$12.40	$17.45	$51.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $27.57 / $74.28 / $94.41	Facility		$27.57	$74.28	$94.41
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $36.40 / $36.40 / $100.00	Facility	26	$36.40	$36.40	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $30.16 / $53.29 / $145.09	Professional		$30.16	$53.29	$145.09
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $15.10 / $19.86 / $43.22	Professional	26	$15.10	$19.86	$43.22
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $15.06 / $21.23 / $58.51	Professional	TC	$15.06	$21.23	$58.51
Midlands Facility/Professional Facility Modifier Low / Median / High Price $50.07 / $76.53 / $90.00	Facility		$50.07	$76.53	$90.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $50.07 / $76.53 / $98.23	Professional		$50.07	$76.53	$98.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.70 / $29.77 / $59.70	Professional		$15.70	$29.77	$59.70
United Facility/Professional Professional Modifier Low / Median / High Price $30.16 / $38.10 / $68.04	Professional		$30.16	$38.10	$68.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.89 / $18.77 / $36.39	Professional	26	$14.89	$18.77	$36.39
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.06 / $19.03 / $36.65	Professional	TC	$15.06	$19.03	$36.65
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $45.10 / $61.60 / $64.09	Professional		$45.10	$61.60	$64.09
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $21.20 / $29.00 / $30.10	Professional	26	$21.20	$29.00	$30.10
Wellmark Facility/Professional Professional Modifier TC Low / Median / High Price $23.90 / $32.70 / $34.00	Professional	TC	$23.90	$32.70	$34.00