Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $63.79 / $106.85 / $140.80	Facility	26	$63.79	$106.85	$140.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $197.54 / $248.14 / $422.52	Professional		$197.54	$248.14	$422.52
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.19 / $64.18 / $106.85	Professional	26	$53.19	$64.18	$106.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $156.41 / $156.41 / $257.36	Professional		$156.41	$156.41	$257.36
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $45.08 / $45.08 / $46.31	Professional	26	$45.08	$45.08	$46.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.31 / $231.52 / $407.28	Professional		$75.31	$231.52	$407.28
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $78.06 / $78.06 / $78.06	Facility	26	$78.06	$78.06	$78.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $201.17 / $323.85 / $602.00	Professional		$201.17	$323.85	$602.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.43 / $82.50 / $124.85	Professional	26	$50.43	$82.50	$124.85
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $225.53 / $349.65 / $1,575.65	Professional		$225.53	$349.65	$1,575.65
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $72.20 / $102.67 / $559.86	Professional	26	$72.20	$102.67	$559.86
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 $235.61 / $240.84 / $259.74	Professional		$235.61	$240.84	$259.74
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $72.34 / $74.15 / $78.22	Professional	26	$72.34	$74.15	$78.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $79.86 / $271.73	Professional		$32.34	$79.86	$271.73
United Facility/Professional Professional Modifier Low / Median / High Price $231.59 / $368.76 / $579.74	Professional		$231.59	$368.76	$579.74
United Facility/Professional Professional Modifier 26 Low / Median / High Price $62.08 / $80.92 / $129.91	Professional	26	$62.08	$80.92	$129.91