Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $76.54 / $145.22 / $195.20	Facility	26	$76.54	$145.22	$195.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.50 / $194.04 / $428.20	Professional		$133.50	$194.04	$428.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $207.49 / $235.20 / $316.08	Professional		$207.49	$235.20	$316.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.40 / $221.30 / $424.23	Professional		$104.40	$221.30	$424.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.21 / $254.65 / $382.58	Professional		$161.21	$254.65	$382.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $206.16 / $301.81 / $755.27	Professional		$206.16	$301.81	$755.27
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $91.76 / $134.91 / $409.09	Professional	26	$91.76	$134.91	$409.09
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 $225.21 / $229.81 / $245.22	Professional		$225.21	$229.81	$245.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $111.61 / $256.54	Professional		$32.34	$111.61	$256.54
United Facility/Professional Professional Modifier Low / Median / High Price $180.98 / $242.95 / $377.74	Professional		$180.98	$242.95	$377.74