Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $71.42 / $133.96 / $181.40	Facility	26	$71.42	$133.96	$181.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $196.11 / $305.13 / $845.16	Professional		$196.11	$305.13	$845.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $185.58 / $224.31 / $391.31	Professional		$185.58	$224.31	$391.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.02 / $271.45 / $568.32	Professional		$97.02	$271.45	$568.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $185.54 / $331.75 / $477.21	Professional		$185.54	$331.75	$477.21
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $255.29 / $381.33 / $802.32	Professional		$255.29	$381.33	$802.32
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $85.66 / $124.03 / $299.18	Professional	26	$85.66	$124.03	$299.18
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 $301.70 / $309.83 / $331.75	Professional		$301.70	$309.83	$331.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $105.43 / $347.06	Professional		$32.34	$105.43	$347.06
United Facility/Professional Professional Modifier Low / Median / High Price $208.99 / $303.93 / $487.74	Professional		$208.99	$303.93	$487.74