Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.45 / $65.76 / $82.97	Facility	26	$47.45	$65.76	$82.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.73 / $119.29 / $185.29	Professional		$93.73	$119.29	$185.29
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.51 / $44.33 / $75.66	Professional	26	$30.51	$44.33	$75.66
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $34.49 / $53.43 / $69.08	Professional	26	$34.49	$53.43	$69.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.77 / $125.20 / $240.01	Professional		$61.77	$125.20	$240.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.54 / $140.44 / $226.29	Professional		$83.54	$140.44	$226.29
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.56 / $55.84 / $89.80	Professional	26	$35.56	$55.84	$89.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $117.99 / $171.62 / $402.50	Professional		$117.99	$171.62	$402.50
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $54.30 / $78.89 / $200.18	Professional	26	$54.30	$78.89	$200.18
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 $127.41 / $127.76 / $139.44	Professional		$127.41	$127.76	$139.44
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $58.01 / $60.49 / $64.17	Professional	26	$58.01	$60.49	$64.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $65.14 / $145.87	Professional		$32.34	$65.14	$145.87
United Facility/Professional Professional Modifier Low / Median / High Price $104.22 / $139.19 / $213.62	Professional		$104.22	$139.19	$213.62
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.76 / $47.19 / $70.06	Professional	26	$34.76	$47.19	$70.06