Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $51.35 / $96.34 / $129.38	Facility	26	$51.35	$96.34	$129.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.56 / $141.47 / $587.27	Professional		$103.56	$141.47	$587.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $81.48 / $124.50 / $148.27	Professional		$81.48	$124.50	$148.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.19 / $133.19 / $255.33	Professional		$69.19	$133.19	$255.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.34 / $156.40 / $229.24	Professional		$102.34	$156.40	$229.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $124.50 / $182.47 / $482.82	Professional		$124.50	$182.47	$482.82
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $58.39 / $82.94 / $200.00	Professional	26	$58.39	$82.94	$200.00
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 $135.55 / $137.90 / $147.13	Professional		$135.55	$137.90	$147.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $72.06 / $153.91	Professional		$32.34	$72.06	$153.91
United Facility/Professional Professional Modifier Low / Median / High Price $116.24 / $148.13 / $218.88	Professional		$116.24	$148.13	$218.88