Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.88 / $41.69 / $69.18	Facility	26	$21.88	$41.69	$69.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $128.82 / $213.80	Professional		$93.33	$128.82	$213.80
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $22.91 / $48.98	Professional	26	$18.20	$22.91	$48.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $85.11	Professional		$72.44	$72.44	$85.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $102.33 / $288.40	Professional		$28.84	$102.33	$288.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $151.36 / $239.88	Professional		$100.00	$151.36	$239.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $32.36 / $47.86	Professional	26	$19.95	$32.36	$47.86
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $251.19 / $457.09	Professional		$131.83	$251.19	$457.09
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $27.54 / $44.67 / $102.33	Professional	26	$27.54	$44.67	$102.33
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 $154.88 / $158.49 / $173.78	Professional		$154.88	$158.49	$173.78
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $27.54 / $28.18 / $29.51	Professional	26	$27.54	$28.18	$29.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $141.25 / $218.78	Professional		$102.33	$141.25	$218.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $28.84 / $44.67	Professional	26	$22.91	$28.84	$44.67