Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.44 / $79.04 / $103.19	Professional		$57.44	$79.04	$103.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.48 / $22.86 / $31.22	Professional	26	$18.48	$22.86	$31.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.79 / $137.49 / $182.86	Professional		$74.79	$137.49	$182.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.40 / $43.27 / $55.25	Professional	26	$24.40	$43.27	$55.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $64.70 / $91.80 / $263.94	Professional		$64.70	$91.80	$263.94
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $21.82 / $27.83 / $74.31	Professional	26	$21.82	$27.83	$74.31
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $51.03 / $95.38 / $95.38	Facility	26	$51.03	$95.38	$95.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $82.40 / $145.57 / $437.32	Professional		$82.40	$145.57	$437.32
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $26.66 / $42.34 / $141.18	Professional	26	$26.66	$42.34	$141.18
Midlands Facility/Professional Professional Modifier Low / Median / High Price $122.12 / $166.29 / $193.98	Professional		$122.12	$166.29	$193.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $61.97 / $117.04	Professional		$21.88	$61.97	$117.04
United Facility/Professional Professional Modifier Low / Median / High Price $78.81 / $114.64 / $192.74	Professional		$78.81	$114.64	$192.74
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.56 / $38.97 / $62.49	Professional	26	$25.56	$38.97	$62.49
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $97.64 / $123.60 / $145.40	Professional		$97.64	$123.60	$145.40
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $31.36 / $39.70 / $46.70	Professional	26	$31.36	$39.70	$46.70