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 / $179.85	Facility	26	$81.31	$137.07	$179.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.00 / $425.00 / $600.00	Professional		$275.00	$425.00	$600.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $158.59 / $158.59 / $315.94	Professional		$158.59	$158.59	$315.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.19 / $308.92 / $592.20	Professional		$96.19	$308.92	$592.20
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $100.29 / $100.29 / $100.29	Facility	26	$100.29	$100.29	$100.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $268.44 / $454.53 / $844.89	Professional		$268.44	$454.53	$844.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $301.20 / $466.85 / $2,193.78	Professional		$301.20	$466.85	$2,193.78
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $92.23 / $131.27 / $723.26	Professional	26	$92.23	$131.27	$723.26
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 $314.38 / $321.83 / $346.80	Professional		$314.38	$321.83	$346.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $104.53 / $362.81	Professional		$32.34	$104.53	$362.81
United Facility/Professional Professional Modifier Low / Median / High Price $307.20 / $523.88 / $803.83	Professional		$307.20	$523.88	$803.83