Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.36 / $20.72 / $27.54	Facility	26	$12.36	$20.72	$27.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.39 / $81.09 / $494.18	Professional		$48.39	$81.09	$494.18
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.31 / $20.72 / $166.95	Professional	26	$12.31	$20.72	$166.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.88 / $26.88 / $26.88	Professional		$26.88	$26.88	$26.88
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $14.12 / $14.12 / $15.89	Professional	26	$14.12	$14.12	$15.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.73 / $52.35 / $100.36	Professional		$14.73	$52.35	$100.36
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.39 / $15.39 / $15.39	Facility	26	$15.39	$15.39	$15.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.10 / $69.15 / $126.98	Professional		$44.10	$69.15	$126.98
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.88 / $15.90 / $24.49	Professional	26	$9.88	$15.90	$24.49
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $51.31 / $78.06 / $466.45	Professional		$51.31	$78.06	$466.45
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $13.66 / $20.14 / $136.96	Professional	26	$13.66	$20.14	$136.96
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 $53.27 / $54.91 / $58.76	Professional		$53.27	$54.91	$58.76
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $14.27 / $14.55 / $15.30	Professional	26	$14.27	$14.55	$15.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.40 / $36.28 / $50.13	Professional		$6.40	$36.28	$50.13
United Facility/Professional Professional Modifier Low / Median / High Price $52.60 / $76.84 / $128.06	Professional		$52.60	$76.84	$128.06
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.50 / $17.23 / $32.90	Professional	26	$12.50	$17.23	$32.90