Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.71 / $85.11 / $147.91	Facility	26	$45.71	$85.11	$147.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $186.21 / $467.74	Professional		$100.00	$186.21	$467.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $104.71 / $151.36	Professional		$81.28	$104.71	$151.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $125.89 / $269.15	Professional		$61.66	$125.89	$269.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $158.49 / $234.42	Professional		$102.33	$158.49	$234.42
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $208.93 / $616.60	Professional		$131.83	$208.93	$616.60
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $89.13 / $316.23	Professional	26	$56.23	$89.13	$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 $141.25 / $144.54 / $154.88	Professional		$141.25	$144.54	$154.88
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 $109.65 / $138.04 / $208.93	Professional		$109.65	$138.04	$208.93