Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.15 / $91.56 / $96.38	Facility	26	$53.15	$91.56	$96.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.17 / $167.34 / $228.74	Professional		$103.17	$167.34	$228.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $98.09 / $98.09 / $98.09	Professional		$98.09	$98.09	$98.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.93 / $139.51 / $267.43	Professional		$69.93	$139.51	$267.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.76 / $184.20 / $631.58	Professional		$108.76	$184.20	$631.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $136.51 / $218.42 / $938.55	Professional		$136.51	$218.42	$938.55
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $64.61 / $95.00 / $458.94	Professional	26	$64.61	$95.00	$458.94
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 $140.02 / $141.97 / $156.51	Professional		$140.02	$141.97	$156.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $72.56 / $163.72	Professional		$32.34	$72.56	$163.72
United Facility/Professional Professional Modifier Low / Median / High Price $130.35 / $208.52 / $486.79	Professional		$130.35	$208.52	$486.79