Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $116.00 / $195.12 / $274.31	Facility	26	$116.00	$195.12	$274.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $297.83 / $425.00 / $589.17	Professional		$297.83	$425.00	$589.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $266.98 / $266.98 / $266.98	Professional		$266.98	$266.98	$266.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.33 / $328.17 / $629.10	Professional		$138.33	$328.17	$629.10
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $145.80 / $145.80 / $145.80	Facility	26	$145.80	$145.80	$145.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $277.45 / $431.15 / $777.94	Professional		$277.45	$431.15	$777.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $316.89 / $469.72 / $2,584.28	Professional		$316.89	$469.72	$2,584.28
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $127.93 / $193.45 / $1,155.78	Professional	26	$127.93	$193.45	$1,155.78
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 $333.97 / $339.92 / $365.65	Professional		$333.97	$339.92	$365.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $150.33 / $382.53	Professional		$32.34	$150.33	$382.53
United Facility/Professional Professional Modifier Low / Median / High Price $308.91 / $473.76 / $774.31	Professional		$308.91	$473.76	$774.31