Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $29.71 / $44.01 / $69.67	Facility	26	$29.71	$44.01	$69.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.64 / $75.52 / $157.69	Professional		$43.64	$75.52	$157.69
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.70 / $50.80 / $192.32	Professional	26	$26.70	$50.80	$192.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.61 / $43.58 / $69.89	Professional		$26.61	$43.58	$69.89
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $39.24 / $41.76 / $44.15	Professional	26	$39.24	$41.76	$44.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.63 / $58.04 / $87.36	Professional		$36.63	$58.04	$87.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.43 / $71.83 / $101.09	Professional		$47.43	$71.83	$101.09
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.35 / $44.14 / $61.23	Professional	26	$32.35	$44.14	$61.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $56.75 / $82.76 / $223.92	Professional		$56.75	$82.76	$223.92
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $35.06 / $51.01 / $185.95	Professional	26	$35.06	$51.01	$185.95
Hally Health Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $100.00 / $100.00	Facility	26	$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $56.84 / $61.48 / $69.17	Professional		$56.84	$61.48	$69.17
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $32.54 / $37.90 / $42.51	Professional	26	$32.54	$37.90	$42.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.89 / $32.34 / $78.22	Professional		$27.89	$32.34	$78.22
United Facility/Professional Professional Modifier Low / Median / High Price $47.85 / $65.84 / $105.22	Professional		$47.85	$65.84	$105.22
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.32 / $44.57 / $77.72	Professional	26	$30.32	$44.57	$77.72