Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.08 / $29.56 / $41.47	Facility	26	$22.08	$29.56	$41.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.25 / $115.71 / $272.70	Professional		$65.25	$115.71	$272.70
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.35 / $29.56 / $95.82	Professional	26	$16.35	$29.56	$95.82
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $18.98 / $25.76 / $34.77	Professional	26	$18.98	$25.76	$34.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.70 / $90.65 / $173.78	Professional		$30.70	$90.65	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.97 / $119.54 / $211.91	Professional		$68.97	$119.54	$211.91
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.76 / $28.95 / $45.87	Professional	26	$17.76	$28.95	$45.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $90.49 / $141.94 / $450.88	Professional		$90.49	$141.94	$450.88
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $26.98 / $39.25 / $149.32	Professional	26	$26.98	$39.25	$149.32
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 $92.26 / $94.32 / $101.57	Professional		$92.26	$94.32	$101.57
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $29.80 / $30.32 / $31.89	Professional	26	$29.80	$30.32	$31.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $33.36 / $106.26	Professional		$32.34	$33.36	$106.26
United Facility/Professional Professional Modifier Low / Median / High Price $74.44 / $122.07 / $229.59	Professional		$74.44	$122.07	$229.59
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.67 / $27.57 / $48.44	Professional	26	$18.67	$27.57	$48.44