Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.34 / $15.41 / $20.66	Facility	26	$8.34	$15.41	$20.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.01 / $33.19 / $57.20	Professional		$28.01	$33.19	$57.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.56 / $8.43 / $13.32	Professional	26	$7.56	$8.43	$13.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.53 / $30.53 / $30.53	Professional		$30.53	$30.53	$30.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.05 / $39.44 / $76.40	Professional		$11.05	$39.44	$76.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.06 / $42.91 / $64.19	Professional		$27.06	$42.91	$64.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.37 / $11.92 / $18.50	Professional	26	$7.37	$11.92	$18.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $38.09 / $55.41 / $169.18	Professional		$38.09	$55.41	$169.18
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $10.60 / $14.99 / $57.66	Professional	26	$10.60	$14.99	$57.66
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 $40.56 / $41.25 / $45.02	Professional		$40.56	$41.25	$45.02
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $10.53 / $10.83 / $11.48	Professional	26	$10.53	$10.83	$11.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.01 / $32.34 / $47.10	Professional		$12.01	$32.34	$47.10
United Facility/Professional Professional Modifier Low / Median / High Price $30.53 / $39.40 / $60.96	Professional		$30.53	$39.40	$60.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.02 / $11.29 / $18.25	Professional	26	$9.02	$11.29	$18.25