Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.81 / $41.58 / $41.58	Facility	26	$22.81	$41.58	$41.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.56 / $121.08 / $181.76	Professional		$101.56	$121.08	$181.76
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.69 / $22.38 / $35.60	Professional	26	$19.69	$22.38	$35.60
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $16.80 / $17.32 / $20.04	Professional	26	$16.80	$17.32	$20.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.65 / $102.97 / $291.69	Professional		$28.65	$102.97	$291.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.33 / $155.69 / $243.55	Professional		$98.33	$155.69	$243.55
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.80 / $32.04 / $49.04	Professional	26	$19.80	$32.04	$49.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $141.07 / $211.84 / $402.81	Professional		$141.07	$211.84	$402.81
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $27.73 / $39.17 / $91.31	Professional	26	$27.73	$39.17	$91.31
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 $154.86 / $159.60 / $172.12	Professional		$154.86	$159.60	$172.12
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $27.73 / $28.29 / $29.76	Professional	26	$27.73	$28.29	$29.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.13 / $32.34 / $180.06	Professional		$31.13	$32.34	$180.06
United Facility/Professional Professional Modifier Low / Median / High Price $108.75 / $153.13 / $238.29	Professional		$108.75	$153.13	$238.29
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.27 / $29.72 / $46.49	Professional	26	$24.27	$29.72	$46.49