Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.08 / $46.29 / $64.30	Facility	26	$25.08	$46.29	$64.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.67 / $79.73 / $271.16	Professional		$59.67	$79.73	$271.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.70 / $75.70 / $115.48	Professional		$75.70	$75.70	$115.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.39 / $76.81 / $153.97	Professional		$34.39	$76.81	$153.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.90 / $97.46 / $148.28	Professional		$58.90	$97.46	$148.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $75.70 / $115.65 / $479.84	Professional		$75.70	$115.65	$479.84
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $30.37 / $43.97 / $199.69	Professional	26	$30.37	$43.97	$199.69
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 $81.73 / $83.16 / $89.48	Professional		$81.73	$83.16	$89.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $36.72 / $93.61	Professional		$32.34	$36.72	$93.61
United Facility/Professional Professional Modifier Low / Median / High Price $64.91 / $87.13 / $140.97	Professional		$64.91	$87.13	$140.97