Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.86 / $95.50 / $169.82	Facility	26	$47.86	$95.50	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $138.04 / $295.12	Professional		$93.33	$138.04	$295.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $190.55	Professional		$87.10	$87.10	$190.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $134.90 / $263.03	Professional		$70.79	$134.90	$263.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $181.97 / $630.96	Professional		$104.71	$181.97	$630.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $524.81 / $1,047.13	Professional		$134.90	$524.81	$1,047.13
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $114.82 / $512.86	Professional	26	$66.07	$114.82	$512.86
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 $134.90 / $138.04 / $151.36	Professional		$134.90	$138.04	$151.36
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 $123.03 / $199.53 / $549.54	Professional		$123.03	$199.53	$549.54