Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,179.63 / $1,459.52 / $2,853.39	Professional		$1,179.63	$1,459.52	$2,853.39
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $325.89 / $434.85 / $1,399.50	Professional	26	$325.89	$434.85	$1,399.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,219.32 / $2,666.93 / $3,009.68	Professional		$2,219.32	$2,666.93	$3,009.68
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $625.32 / $775.28 / $870.72	Professional	26	$625.32	$775.28	$870.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $935.89 / $1,425.91 / $4,190.83	Professional		$935.89	$1,425.91	$4,190.83
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $302.66 / $463.66 / $1,204.71	Professional	26	$302.66	$463.66	$1,204.71
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $3,007.60 / $3,007.60 / $3,007.60	Facility	26	$3,007.60	$3,007.60	$3,007.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,300.22 / $2,535.46 / $4,160.68	Professional		$1,300.22	$2,535.46	$4,160.68
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $382.12 / $749.73 / $2,032.70	Professional	26	$382.12	$749.73	$2,032.70
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,612.63 / $2,488.62 / $3,009.68	Professional		$1,612.63	$2,488.62	$3,009.68
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $361.40 / $1,096.84 / $2,138.31	Professional		$361.40	$1,096.84	$2,138.31
United Facility/Professional Professional Modifier Low / Median / High Price $1,246.05 / $2,351.23 / $3,378.52	Professional		$1,246.05	$2,351.23	$3,378.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $366.20 / $679.10 / $904.34	Professional	26	$366.20	$679.10	$904.34
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,689.42 / $2,138.50 / $2,515.90	Professional		$1,689.42	$2,138.50	$2,515.90
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $512.87 / $649.20 / $763.80	Professional	26	$512.87	$649.20	$763.80