Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $81.31 / $137.07 / $179.85	Facility	26	$81.31	$137.07	$179.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.56 / $425.00 / $651.20	Professional		$281.56	$425.00	$651.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $161.31 / $161.31 / $161.31	Professional		$161.31	$161.31	$161.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.19 / $314.20 / $602.30	Professional		$96.19	$314.20	$602.30
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $100.29 / $100.29 / $100.29	Facility	26	$100.29	$100.29	$100.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $273.02 / $434.25 / $853.45	Professional		$273.02	$434.25	$853.45
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $303.98 / $468.55 / $2,330.30	Professional		$303.98	$468.55	$2,330.30
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $92.23 / $131.27 / $768.92	Professional	26	$92.23	$131.27	$768.92
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 $319.75 / $327.47 / $352.83	Professional		$319.75	$327.47	$352.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $104.53 / $369.12	Professional		$32.34	$104.53	$369.12
United Facility/Professional Professional Modifier Low / Median / High Price $313.13 / $525.80 / $784.15	Professional		$313.13	$525.80	$784.15