Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $84.15 / $146.01 / $166.18	Facility	26	$84.15	$146.01	$166.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.47 / $255.46 / $981.00	Professional		$153.47	$255.46	$981.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $79.20 / $106.43 / $341.92	Professional	26	$79.20	$106.43	$341.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $129.97 / $195.04 / $274.43	Professional		$129.97	$195.04	$274.43
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $88.66 / $106.39 / $119.69	Professional	26	$88.66	$106.39	$119.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $110.95 / $208.74 / $400.16	Professional		$110.95	$208.74	$400.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.79 / $239.08 / $344.82	Professional		$128.79	$239.08	$344.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $73.95 / $119.69 / $198.28	Professional	26	$73.95	$119.69	$198.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $195.04 / $283.70 / $902.10	Professional		$195.04	$283.70	$902.10
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $97.53 / $143.62 / $625.67	Professional	26	$97.53	$143.62	$625.67
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 $212.43 / $215.68 / $230.50	Professional		$212.43	$215.68	$230.50
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $109.82 / $110.21 / $115.26	Professional	26	$109.82	$110.21	$115.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $78.63 / $241.14	Professional		$32.34	$78.63	$241.14
United Facility/Professional Professional Modifier Low / Median / High Price $175.69 / $225.94 / $337.21	Professional		$175.69	$225.94	$337.21
United Facility/Professional Professional Modifier 26 Low / Median / High Price $89.30 / $116.06 / $187.67	Professional	26	$89.30	$116.06	$187.67