Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.59 / $30.07 / $32.03	Facility	26	$16.59	$30.07	$32.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.84 / $91.29 / $176.35	Professional		$71.84	$91.29	$176.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $116.15 / $116.15 / $116.15	Professional		$116.15	$116.15	$116.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.92 / $104.09 / $199.53	Professional		$22.92	$104.09	$199.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.84 / $109.84 / $169.13	Professional		$68.84	$109.84	$169.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $99.48 / $144.69 / $395.54	Professional		$99.48	$144.69	$395.54
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $21.98 / $31.18 / $103.76	Professional	26	$21.98	$31.18	$103.76
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 $105.92 / $108.95 / $117.57	Professional		$105.92	$108.95	$117.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.92 / $32.34 / $123.00	Professional		$24.92	$32.34	$123.00
United Facility/Professional Professional Modifier Low / Median / High Price $77.73 / $104.09 / $168.64	Professional		$77.73	$104.09	$168.64