Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.23 / $58.01 / $77.31	Facility	26	$30.23	$58.01	$77.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.20 / $103.93 / $375.95	Professional		$76.20	$103.93	$375.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $77.43 / $114.80 / $146.76	Professional		$77.43	$114.80	$146.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.35 / $93.22 / $195.98	Professional		$41.35	$93.22	$195.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.02 / $120.05 / $181.12	Professional		$78.02	$120.05	$181.12
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $96.39 / $140.21 / $494.80	Professional		$96.39	$140.21	$494.80
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $36.34 / $53.55 / $174.29	Professional	26	$36.34	$53.55	$174.29
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 $104.04 / $106.31 / $113.92	Professional		$104.04	$106.31	$113.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $44.93 / $119.18	Professional		$32.34	$44.93	$119.18
United Facility/Professional Professional Modifier Low / Median / High Price $87.63 / $111.91 / $165.65	Professional		$87.63	$111.91	$165.65