Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.90 / $60.60 / $97.93	Facility	26	$31.90	$60.60	$97.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.15 / $137.60 / $172.73	Professional		$118.15	$137.60	$172.73
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.72 / $24.43 / $31.90	Professional	26	$21.72	$24.43	$31.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.49 / $304.27 / $491.44	Professional		$159.49	$304.27	$491.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.38 / $53.88 / $87.12	Professional	26	$25.38	$53.88	$87.12
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $140.75 / $217.06 / $600.91	Professional		$140.75	$217.06	$600.91
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $22.66 / $33.59 / $83.81	Professional	26	$22.66	$33.59	$83.81
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $102.96 / $102.96 / $102.96	Facility	26	$102.96	$102.96	$102.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $164.43 / $298.22 / $845.52	Professional		$164.43	$298.22	$845.52
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $26.91 / $43.75 / $147.91	Professional	26	$26.91	$43.75	$147.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $239.27 / $298.22 / $375.91	Professional		$239.27	$298.22	$375.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $178.00 / $178.00 / $178.00	Professional		$178.00	$178.00	$178.00
United Facility/Professional Professional Modifier Low / Median / High Price $157.71 / $267.52 / $388.90	Professional		$157.71	$267.52	$388.90
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.62 / $39.71 / $63.97	Professional	26	$25.62	$39.71	$63.97
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $210.77 / $266.80 / $313.89	Professional		$210.77	$266.80	$313.89
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $33.10 / $41.90 / $49.30	Professional	26	$33.10	$41.90	$49.30