Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $89.13 / $177.83 / $426.58	Facility	26	$89.13	$177.83	$426.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $457.09 / $933.25	Professional		$281.84	$457.09	$933.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $141.25 / $436.52	Professional	26	$85.11	$141.25	$436.52
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $79.43 / $79.43 / $79.43	Professional	26	$79.43	$79.43	$79.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $323.59 / $501.19	Professional		$107.15	$323.59	$501.19
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $120.23 / $120.23 / $120.23	Facility	26	$120.23	$120.23	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $478.63 / $891.25	Professional		$275.42	$478.63	$891.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $123.03 / $181.97	Professional	26	$74.13	$123.03	$181.97
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $741.31 / $2,818.38	Professional		$309.03	$741.31	$2,818.38
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $100.00 / $169.82 / $933.25	Professional	26	$100.00	$169.82	$933.25
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 $323.59 / $331.13 / $363.08	Professional		$323.59	$331.13	$363.08
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $102.33 / $104.71 / $109.65	Professional	26	$102.33	$104.71	$109.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $489.78 / $851.14	Professional		$302.00	$489.78	$851.14
United Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $109.65 / $165.96	Professional	26	$83.18	$109.65	$165.96