Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.96 / $73.31 / $108.65	Professional		$49.96	$73.31	$108.65
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.38 / $51.81 / $70.61	Professional	26	$35.38	$51.81	$70.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.65 / $145.19 / $194.02	Professional		$102.65	$145.19	$194.02
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $71.23 / $102.80 / $132.33	Professional	26	$71.23	$102.80	$132.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $65.40 / $96.59 / $235.02	Professional		$65.40	$96.59	$235.02
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $45.89 / $65.81 / $206.62	Professional	26	$45.89	$65.81	$206.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $81.20 / $145.19 / $404.18	Professional		$81.20	$145.19	$404.18
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $56.92 / $100.28 / $278.89	Professional	26	$56.92	$100.28	$278.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $123.41 / $145.19 / $171.32	Professional		$123.41	$145.19	$171.32
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $20.14 / $59.93 / $114.38	Professional		$20.14	$59.93	$114.38
United Facility/Professional Professional Modifier Low / Median / High Price $70.52 / $134.99 / $166.79	Professional		$70.52	$134.99	$166.79
United Facility/Professional Professional Modifier 26 Low / Median / High Price $51.14 / $94.27 / $120.96	Professional	26	$51.14	$94.27	$120.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $86.98 / $110.10 / $129.50	Professional		$86.98	$110.10	$129.50
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $59.65 / $75.50 / $88.80	Professional	26	$59.65	$75.50	$88.80