Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $67.53 / $100.91 / $204.56	Facility	26	$67.53	$100.91	$204.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.94 / $94.21 / $384.81	Professional		$69.94	$94.21	$384.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.22 / $58.28 / $228.73	Professional	26	$39.22	$58.28	$228.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.83 / $158.06 / $205.37	Professional		$114.83	$158.06	$205.37
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.48 / $87.27 / $112.93	Professional	26	$61.48	$87.27	$112.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $75.41 / $101.07 / $299.54	Professional		$75.41	$101.07	$299.54
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $41.78 / $52.15 / $162.05	Professional	26	$41.78	$52.15	$162.05
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $96.12 / $184.67 / $184.67	Facility	26	$96.12	$184.67	$184.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $73.62 / $132.16 / $493.66	Professional		$73.62	$132.16	$493.66
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $44.72 / $76.38 / $264.24	Professional	26	$44.72	$76.38	$264.24
Midlands Facility/Professional Professional Modifier Low / Median / High Price $98.01 / $142.90 / $201.26	Professional		$98.01	$142.90	$201.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $34.74 / $68.55 / $133.47	Professional		$34.74	$68.55	$133.47
United Facility/Professional Professional Modifier Low / Median / High Price $72.38 / $96.50 / $195.22	Professional		$72.38	$96.50	$195.22
United Facility/Professional Professional Modifier 26 Low / Median / High Price $44.39 / $65.20 / $120.62	Professional	26	$44.39	$65.20	$120.62
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $119.13 / $150.80 / $177.40	Professional		$119.13	$150.80	$177.40
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $64.31 / $81.40 / $95.80	Professional	26	$64.31	$81.40	$95.80