Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $56.23 / $90.28 / $110.57	Facility	26	$56.23	$90.28	$110.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.87 / $149.34 / $343.19	Professional		$119.87	$149.34	$343.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $134.09 / $134.09 / $134.09	Professional		$134.09	$134.09	$134.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.58 / $197.69 / $407.59	Professional		$85.58	$197.69	$407.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.70 / $208.71 / $318.92	Professional		$120.70	$208.71	$318.92
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $181.39 / $278.77 / $518.45	Professional		$181.39	$278.77	$518.45
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $73.25 / $102.57 / $292.91	Professional	26	$73.25	$102.57	$292.91
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 $214.37 / $216.37 / $241.61	Professional		$214.37	$216.37	$241.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $93.00 / $241.50	Professional		$32.34	$93.00	$241.50
United Facility/Professional Professional Modifier Low / Median / High Price $125.48 / $173.15 / $260.50	Professional		$125.48	$173.15	$260.50