Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $81.31 / $137.07 / $191.42	Facility	26	$81.31	$137.07	$191.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $340.71 / $425.00 / $640.75	Professional		$340.71	$425.00	$640.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $198.28 / $198.28 / $198.28	Professional		$198.28	$198.28	$198.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.19 / $345.15 / $692.88	Professional		$96.19	$345.15	$692.88
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $100.71 / $100.71 / $100.71	Facility	26	$100.71	$100.71	$100.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $334.28 / $518.13 / $877.93	Professional		$334.28	$518.13	$877.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $367.71 / $584.99 / $2,262.04	Professional		$367.71	$584.99	$2,262.04
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $92.23 / $131.27 / $574.28	Professional	26	$92.23	$131.27	$574.28
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 $392.61 / $403.92 / $434.56	Professional		$392.61	$403.92	$434.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $104.53 / $454.62	Professional		$32.34	$104.53	$454.62
United Facility/Professional Professional Modifier Low / Median / High Price $392.70 / $573.69 / $883.82	Professional		$392.70	$573.69	$883.82