Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.14 / $107.40 / $118.50	Facility	26	$64.14	$107.40	$118.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.20 / $236.95 / $432.45	Professional		$199.20	$236.95	$432.45
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.01 / $64.51 / $107.40	Professional	26	$53.01	$64.51	$107.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $105.68 / $105.68 / $211.36	Professional		$105.68	$105.68	$211.36
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $45.56 / $55.74 / $71.15	Professional	26	$45.56	$55.74	$71.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.72 / $234.16 / $411.93	Professional		$75.72	$234.16	$411.93
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 $203.47 / $324.29 / $602.22	Professional		$203.47	$324.29	$602.22
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.74 / $82.50 / $124.85	Professional	26	$50.74	$82.50	$124.85
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $228.14 / $353.69 / $1,528.25	Professional		$228.14	$353.69	$1,528.25
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $72.61 / $103.19 / $543.04	Professional	26	$72.61	$103.19	$543.04
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 $238.29 / $243.66 / $262.74	Professional		$238.29	$243.66	$262.74
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $72.75 / $74.53 / $78.66	Professional	26	$72.75	$74.53	$78.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $82.29 / $274.87	Professional		$32.34	$82.29	$274.87
United Facility/Professional Professional Modifier Low / Median / High Price $234.22 / $362.81 / $574.57	Professional		$234.22	$362.81	$574.57
United Facility/Professional Professional Modifier 26 Low / Median / High Price $61.90 / $77.95 / $127.92	Professional	26	$61.90	$77.95	$127.92