Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.92 / $26.92 / $26.92	Facility	26	$26.92	$26.92	$26.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $100.00 / $190.55	Professional		$70.79	$100.00	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $199.53 / $245.47	Professional		$102.33	$199.53	$245.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $107.15 / $363.08	Professional		$67.61	$107.15	$363.08
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $28.84 / $75.86	Professional	26	$19.05	$28.84	$75.86
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $123.03 / $123.03 / $123.03	Facility	26	$123.03	$123.03	$123.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $162.18 / $645.65	Professional		$51.29	$162.18	$645.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $177.83 / $257.04	Professional		$66.07	$177.83	$257.04
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $36.31 / $47.86 / $51.29	Professional	26	$36.31	$47.86	$51.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $177.83 / $234.42	Professional		$131.83	$177.83	$234.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $87.10 / $186.21	Professional		$20.89	$87.10	$186.21
United Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $144.54 / $234.42	Professional		$61.66	$144.54	$234.42
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $213.80	Professional		$181.97	$181.97	$213.80