Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.22 / $30.20 / $54.95	Facility	26	$16.22	$30.20	$54.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $107.15 / $323.59	Professional		$72.44	$107.15	$323.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $67.61 / $107.15	Professional		$66.07	$67.61	$107.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $89.13 / $199.53	Professional		$22.91	$89.13	$199.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $104.71 / $169.82	Professional		$69.18	$104.71	$169.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $181.97 / $416.87	Professional		$100.00	$181.97	$416.87
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $38.02 / $120.23	Professional	26	$21.88	$38.02	$120.23
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 $104.71 / $109.65 / $117.49	Professional		$104.71	$109.65	$117.49
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 $74.13 / $100.00 / $154.88	Professional		$74.13	$100.00	$154.88