Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.71 / $52.01 / $108.18	Facility	26	$35.71	$52.01	$108.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.74 / $73.06 / $257.17	Professional		$48.74	$73.06	$257.17
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.88 / $26.42 / $136.25	Professional	26	$20.88	$26.42	$136.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.00 / $107.48 / $141.72	Professional		$71.00	$107.48	$141.72
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.01 / $45.00 / $61.10	Professional	26	$32.01	$45.00	$61.10
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $45.50 / $61.11 / $164.38	Professional		$45.50	$61.11	$164.38
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $19.96 / $27.12 / $69.58	Professional	26	$19.96	$27.12	$69.58
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $50.69 / $96.88 / $96.88	Facility	26	$50.69	$96.88	$96.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $48.75 / $82.77 / $352.79	Professional		$48.75	$82.77	$352.79
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $25.05 / $47.05 / $140.68	Professional	26	$25.05	$47.05	$140.68
Midlands Facility/Professional Professional Modifier Low / Median / High Price $54.60 / $82.77 / $126.91	Professional		$54.60	$82.77	$126.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $47.01 / $91.53	Professional		$21.88	$47.01	$91.53
United Facility/Professional Professional Modifier Low / Median / High Price $48.51 / $72.80 / $120.42	Professional		$48.51	$72.80	$120.42
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.05 / $36.43 / $61.26	Professional	26	$25.05	$36.43	$61.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $81.20 / $102.80 / $120.90	Professional		$81.20	$102.80	$120.90
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $33.72 / $42.70 / $50.20	Professional	26	$33.72	$42.70	$50.20