Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.38 / $29.51 / $74.13	Facility	26	$21.38	$29.51	$74.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $93.33 / $263.03	Professional		$61.66	$93.33	$263.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $36.31 / $95.50	Professional	26	$19.95	$36.31	$95.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $141.25	Professional		$56.23	$56.23	$141.25
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $18.62 / $23.99 / $34.67	Professional	26	$18.62	$23.99	$34.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $77.62 / $173.78	Professional		$30.90	$77.62	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $123.03 / $208.93	Professional		$69.18	$123.03	$208.93
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.78 / $28.18 / $45.71	Professional	26	$17.78	$28.18	$45.71
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $199.53 / $537.03	Professional		$93.33	$199.53	$537.03
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $26.30 / $46.77 / $269.15	Professional	26	$26.30	$46.77	$269.15
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 $93.33 / $93.33 / $102.33	Professional		$93.33	$93.33	$102.33
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $29.51 / $30.20 / $31.62	Professional	26	$29.51	$30.20	$31.62
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 $70.79 / $123.03 / $269.15	Professional		$70.79	$123.03	$269.15
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.62 / $26.92 / $45.71	Professional	26	$18.62	$26.92	$45.71