Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.07 / $103.29 / $133.91	Facility	26	$61.07	$103.29	$133.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $226.13 / $287.98 / $458.24	Professional		$226.13	$287.98	$458.24
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.46 / $61.07 / $103.86	Professional	26	$52.46	$61.07	$103.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $147.56 / $147.56 / $185.18	Professional		$147.56	$147.56	$185.18
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $41.98 / $76.72 / $81.05	Professional	26	$41.98	$76.72	$81.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.62 / $257.36 / $552.54	Professional		$71.62	$257.36	$552.54
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $75.23 / $75.23 / $75.23	Facility	26	$75.23	$75.23	$75.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $241.19 / $382.18 / $602.79	Professional		$241.19	$382.18	$602.79
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.25 / $78.06 / $120.16	Professional	26	$48.25	$78.06	$120.16
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $281.66 / $428.72 / $1,338.64	Professional		$281.66	$428.72	$1,338.64
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $68.68 / $97.88 / $372.44	Professional	26	$68.68	$97.88	$372.44
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 $293.33 / $301.51 / $324.73	Professional		$293.33	$301.51	$324.73
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $69.30 / $70.69 / $74.40	Professional	26	$69.30	$70.69	$74.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $77.83 / $327.12	Professional		$32.34	$77.83	$327.12
United Facility/Professional Professional Modifier Low / Median / High Price $279.67 / $386.85 / $574.50	Professional		$279.67	$386.85	$574.50
United Facility/Professional Professional Modifier 26 Low / Median / High Price $59.48 / $74.93 / $127.46	Professional	26	$59.48	$74.93	$127.46