Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $49.79 / $94.60 / $152.86	Facility	26	$49.79	$94.60	$152.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.85 / $180.42 / $588.66	Professional		$137.85	$180.42	$588.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $155.15 / $337.45 / $432.36	Professional		$155.15	$337.45	$432.36
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $131.82 / $198.17 / $606.79	Professional		$131.82	$198.17	$606.79
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $32.53 / $53.67 / $148.65	Professional	26	$32.53	$53.67	$148.65
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $159.69 / $159.69 / $159.69	Facility	26	$159.69	$159.69	$159.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $162.96 / $304.33 / $1,016.32	Professional		$162.96	$304.33	$1,016.32
Midlands Facility/Professional Professional Modifier Low / Median / High Price $213.14 / $308.51 / $401.51	Professional		$213.14	$308.51	$401.51
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $34.64 / $137.91 / $266.10	Professional		$34.64	$137.91	$266.10
United Facility/Professional Professional Modifier Low / Median / High Price $154.96 / $212.33 / $423.68	Professional		$154.96	$212.33	$423.68
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $239.29 / $302.89 / $356.40	Professional		$239.29	$302.89	$356.40