Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.44 / $43.85 / $65.34	Facility	26	$36.44	$43.85	$65.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.60 / $116.15 / $206.95	Professional		$96.60	$116.15	$206.95
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.17 / $36.44 / $67.72	Professional	26	$20.17	$36.44	$67.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $121.75 / $121.75 / $121.75	Professional		$121.75	$121.75	$121.75
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $28.15 / $33.60 / $54.39	Professional	26	$28.15	$33.60	$54.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.30 / $139.58 / $267.57	Professional		$48.30	$139.58	$267.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.38 / $147.51 / $222.14	Professional		$87.38	$147.51	$222.14
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.90 / $42.65 / $70.66	Professional	26	$24.90	$42.65	$70.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $126.34 / $192.51 / $374.61	Professional		$126.34	$192.51	$374.61
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $40.52 / $61.74 / $163.51	Professional	26	$40.52	$61.74	$163.51
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 $142.04 / $145.02 / $156.41	Professional		$142.04	$145.02	$156.41
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $46.29 / $47.50 / $50.17	Professional	26	$46.29	$47.50	$50.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $52.48 / $163.63	Professional		$32.34	$52.48	$163.63
United Facility/Professional Professional Modifier Low / Median / High Price $99.72 / $138.66 / $226.78	Professional		$99.72	$138.66	$226.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.19 / $41.86 / $79.11	Professional	26	$24.19	$41.86	$79.11