Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.88 / $65.73 / $92.32	Facility	26	$45.88	$65.73	$92.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.85 / $138.05 / $437.02	Professional		$100.85	$138.05	$437.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $86.49 / $130.76 / $178.59	Professional		$86.49	$130.76	$178.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.41 / $135.29 / $266.35	Professional		$61.41	$135.29	$266.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.04 / $160.47 / $231.38	Professional		$103.04	$160.47	$231.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $130.76 / $188.11 / $472.40	Professional		$130.76	$188.11	$472.40
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $54.06 / $78.51 / $278.01	Professional	26	$54.06	$78.51	$278.01
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 $141.40 / $143.85 / $154.53	Professional		$141.40	$143.85	$154.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $65.73 / $161.66	Professional		$32.34	$65.73	$161.66
United Facility/Professional Professional Modifier Low / Median / High Price $113.93 / $145.91 / $224.38	Professional		$113.93	$145.91	$224.38