Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $81.94 / $179.05 / $287.61	Facility	26	$81.94	$179.05	$287.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.18 / $171.72 / $284.58	Professional		$152.18	$171.72	$284.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $283.64 / $709.07 / $1,002.82	Professional		$283.64	$709.07	$1,002.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $288.64 / $439.32 / $651.71	Professional		$288.64	$439.32	$651.71
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $54.30 / $86.38 / $117.77	Professional	26	$54.30	$86.38	$117.77
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $264.93 / $264.93 / $264.93	Facility	26	$264.93	$264.93	$264.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $334.85 / $532.90 / $1,733.66	Professional		$334.85	$532.90	$1,733.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $251.23 / $358.08 / $587.79	Professional		$251.23	$358.08	$587.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $62.05 / $336.10 / $612.49	Professional		$62.05	$336.10	$612.49
United Facility/Professional Professional Modifier Low / Median / High Price $346.28 / $532.64 / $905.49	Professional		$346.28	$532.64	$905.49
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $487.35 / $616.90 / $725.70	Professional		$487.35	$616.90	$725.70