Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $56.23 / $102.33 / $204.17	Facility	26	$56.23	$102.33	$204.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $165.96 / $407.38	Professional		$117.49	$165.96	$407.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $288.40	Professional		$288.40	$288.40	$288.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $186.21 / $407.38	Professional		$85.11	$186.21	$407.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $190.55 / $323.59	Professional		$117.49	$190.55	$323.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $316.23 / $588.84	Professional		$173.78	$316.23	$588.84
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $117.49 / $316.23	Professional	26	$72.44	$117.49	$316.23
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 $213.80 / $218.78 / $239.88	Professional		$213.80	$218.78	$239.88
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 / $162.18 / $251.19	Professional		$123.03	$162.18	$251.19