Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.59 / $105.17 / $194.46	Professional		$75.59	$105.17	$194.46
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.72 / $34.22 / $175.69	Professional	26	$26.72	$34.22	$175.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.34 / $188.43 / $235.54	Professional		$96.34	$188.43	$235.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.53 / $64.90 / $81.13	Professional	26	$35.53	$64.90	$81.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $88.58 / $125.63 / $387.11	Professional		$88.58	$125.63	$387.11
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $32.22 / $41.08 / $128.09	Professional	26	$32.22	$41.08	$128.09
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $74.91 / $140.77 / $140.77	Facility	26	$74.91	$140.77	$140.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $101.01 / $179.29 / $560.38	Professional		$101.01	$179.29	$560.38
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $37.79 / $59.98 / $201.28	Professional	26	$37.79	$59.98	$201.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $167.42 / $188.40 / $234.62	Professional		$167.42	$188.40	$234.62
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $32.03 / $85.65 / $158.88	Professional		$32.03	$85.65	$158.88
United Facility/Professional Professional Modifier Low / Median / High Price $94.52 / $138.82 / $231.15	Professional		$94.52	$138.82	$231.15
United Facility/Professional Professional Modifier 26 Low / Median / High Price $36.21 / $52.67 / $88.55	Professional	26	$36.21	$52.67	$88.55
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $133.51 / $169.00 / $198.80	Professional		$133.51	$169.00	$198.80
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $46.29 / $58.60 / $69.00	Professional	26	$46.29	$58.60	$69.00