Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $240.22 / $688.42 / $688.42	Facility	26	$240.22	$688.42	$688.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,034.55 / $1,350.49 / $2,565.92	Professional		$1,034.55	$1,350.49	$2,565.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,001.58 / $2,371.40 / $2,711.84	Professional		$2,001.58	$2,371.40	$2,711.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $840.67 / $1,281.01 / $2,146.52	Professional		$840.67	$1,281.01	$2,146.52
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $252.84 / $388.01 / $573.95	Professional	26	$252.84	$388.01	$573.95
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $2,506.64 / $2,506.64 / $2,506.64	Facility	26	$2,506.64	$2,506.64	$2,506.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,159.33 / $2,244.36 / $3,692.67	Professional		$1,159.33	$2,244.36	$3,692.67
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,412.76 / $2,220.65 / $2,711.84	Professional		$1,412.76	$2,220.65	$2,711.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $301.56 / $985.39 / $1,923.75	Professional		$301.56	$985.39	$1,923.75
United Facility/Professional Professional Modifier Low / Median / High Price $1,111.03 / $2,264.79 / $2,743.75	Professional		$1,111.03	$2,264.79	$2,743.75
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,520.75 / $1,925.00 / $2,264.69	Professional		$1,520.75	$1,925.00	$2,264.69