Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $205.93 / $590.54 / $590.54	Facility	26	$205.93	$590.54	$590.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $886.22 / $1,096.89 / $2,143.37	Professional		$886.22	$1,096.89	$2,143.37
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $226.35 / $310.82 / $1,299.11	Professional	26	$226.35	$310.82	$1,299.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,795.70 / $2,128.67 / $2,386.38	Professional		$1,795.70	$2,128.67	$2,386.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $447.35 / $554.75 / $622.12	Professional	26	$447.35	$554.75	$622.12
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $752.11 / $1,145.33 / $3,335.94	Professional		$752.11	$1,145.33	$3,335.94
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $216.48 / $331.50 / $925.40	Professional	26	$216.48	$331.50	$925.40
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $2,151.76 / $2,151.76 / $2,151.76	Facility	26	$2,151.76	$2,151.76	$2,151.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,020.19 / $1,995.59 / $3,249.48	Professional		$1,020.19	$1,995.59	$3,249.48
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $273.35 / $535.90 / $1,456.11	Professional	26	$273.35	$535.90	$1,456.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,208.34 / $1,901.63 / $2,434.41	Professional		$1,208.34	$1,901.63	$2,434.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $258.12 / $881.03 / $1,721.91	Professional		$258.12	$881.03	$1,721.91
United Facility/Professional Professional Modifier Low / Median / High Price $977.68 / $1,993.21 / $2,650.88	Professional		$977.68	$1,993.21	$2,650.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $261.95 / $494.30 / $710.27	Professional	26	$261.95	$494.30	$710.27
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,362.12 / $1,724.20 / $2,028.40	Professional		$1,362.12	$1,724.20	$2,028.40
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $366.88 / $464.40 / $546.40	Professional	26	$366.88	$464.40	$546.40