Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.24 / $63.34 / $228.00	Professional		$41.24	$63.34	$228.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.61 / $101.89 / $127.37	Professional		$52.61	$101.89	$127.37
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $41.44 / $70.45 / $212.91	Professional		$41.44	$70.45	$212.91
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $3.47 / $5.35 / $15.81	Professional	26	$3.47	$5.35	$15.81
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $8.58 / $100.00 / $100.00	Facility	26	$8.58	$100.00	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $58.70 / $99.92 / $442.90	Professional		$58.70	$99.92	$442.90
Midlands Facility/Professional Professional Modifier Low / Median / High Price $73.98 / $98.68 / $126.65	Professional		$73.98	$98.68	$126.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.13 / $49.39 / $88.25	Professional		$4.13	$49.39	$88.25
United Facility/Professional Professional Modifier Low / Median / High Price $51.36 / $78.23 / $127.00	Professional		$51.36	$78.23	$127.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $72.20 / $91.40 / $107.50	Professional		$72.20	$91.40	$107.50