Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.25 / $98.31 / $175.56	Professional		$75.25	$98.31	$175.56
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.99 / $44.07 / $224.80	Professional	26	$33.99	$44.07	$224.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.06 / $171.68 / $220.99	Professional		$134.06	$171.68	$220.99
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.81 / $80.80 / $96.08	Professional	26	$47.81	$80.80	$96.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $72.08 / $110.69 / $258.69	Professional		$72.08	$110.69	$258.69
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $33.78 / $51.95 / $117.02	Professional	26	$33.78	$51.95	$117.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $107.73 / $180.45 / $553.27	Professional		$107.73	$180.45	$553.27
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $47.63 / $83.91 / $234.24	Professional	26	$47.63	$83.91	$234.24
Midlands Facility/Professional Professional Modifier Low / Median / High Price $119.13 / $169.69 / $220.99	Professional		$119.13	$169.69	$220.99
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $37.04 / $73.61 / $146.85	Professional		$37.04	$73.61	$146.85
United Facility/Professional Professional Modifier Low / Median / High Price $91.53 / $169.36 / $218.74	Professional		$91.53	$169.36	$218.74
United Facility/Professional Professional Modifier 26 Low / Median / High Price $42.79 / $64.75 / $101.21	Professional	26	$42.79	$64.75	$101.21
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $128.61 / $162.80 / $191.50	Professional		$128.61	$162.80	$191.50
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $57.43 / $72.70 / $85.60	Professional	26	$57.43	$72.70	$85.60