Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $51.46 / $147.49 / $147.49	Facility	26	$51.46	$147.49	$147.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $318.23 / $384.94 / $1,138.74	Professional		$318.23	$384.94	$1,138.74
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.96 / $66.43 / $261.49	Professional	26	$50.96	$66.43	$261.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $378.93 / $759.21 / $923.85	Professional		$378.93	$759.21	$923.85
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $97.00 / $129.59 / $179.33	Professional	26	$97.00	$129.59	$179.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $299.98 / $405.18 / $648.79	Professional		$299.98	$405.18	$648.79
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $51.43 / $81.00 / $129.88	Professional	26	$51.43	$81.00	$129.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $318.73 / $697.96 / $2,222.29	Professional		$318.73	$697.96	$2,222.29
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $71.17 / $131.34 / $774.69	Professional	26	$71.17	$131.34	$774.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $373.00 / $678.63 / $912.75	Professional		$373.00	$678.63	$912.75
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $58.49 / $346.82 / $630.29	Professional		$58.49	$346.82	$630.29
United Facility/Professional Professional Modifier Low / Median / High Price $336.95 / $546.92 / $833.19	Professional		$336.95	$546.92	$833.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $64.91 / $113.24 / $154.76	Professional	26	$64.91	$113.24	$154.76
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $549.29 / $695.30 / $818.00	Professional		$549.29	$695.30	$818.00
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $87.53 / $110.80 / $130.30	Professional	26	$87.53	$110.80	$130.30