Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $90.18 / $151.44 / $166.62	Facility	26	$90.18	$151.44	$166.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $256.10 / $373.85 / $603.61	Professional		$256.10	$373.85	$603.61
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $78.03 / $90.78 / $171.09	Professional	26	$78.03	$90.78	$171.09
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $62.27 / $74.70 / $84.05	Professional	26	$62.27	$74.70	$84.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.63 / $312.66 / $638.01	Professional		$107.63	$312.66	$638.01
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $110.51 / $110.51 / $110.51	Facility	26	$110.51	$110.51	$110.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $279.08 / $445.47 / $706.95	Professional		$279.08	$445.47	$706.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $71.84 / $116.10 / $173.93	Professional	26	$71.84	$116.10	$173.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $337.88 / $515.16 / $1,569.97	Professional		$337.88	$515.16	$1,569.97
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $98.26 / $146.34 / $557.46	Professional	26	$98.26	$146.34	$557.46
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 $356.53 / $363.78 / $393.95	Professional		$356.53	$363.78	$393.95
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $102.45 / $105.69 / $111.80	Professional	26	$102.45	$105.69	$111.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $116.96 / $365.79	Professional		$32.34	$116.96	$365.79
United Facility/Professional Professional Modifier Low / Median / High Price $328.79 / $472.96 / $714.16	Professional		$328.79	$472.96	$714.16
United Facility/Professional Professional Modifier 26 Low / Median / High Price $87.30 / $107.60 / $180.72	Professional	26	$87.30	$107.60	$180.72