Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.44 / $48.18 / $77.52	Facility	26	$24.44	$48.18	$77.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.14 / $50.66 / $195.48	Professional		$42.14	$50.66	$195.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $36.72 / $36.72 / $36.72	Professional		$36.72	$36.72	$36.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $60.07 / $108.67	Professional		$32.34	$60.07	$108.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $70.29 / $105.47	Professional		$41.69	$70.29	$105.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $53.04 / $81.59 / $365.92	Professional		$53.04	$81.59	$365.92
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $28.55 / $41.85 / $239.27	Professional	26	$28.55	$41.85	$239.27
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 $57.69 / $58.44 / $62.40	Professional		$57.69	$58.44	$62.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.70 / $32.34 / $65.28	Professional		$27.70	$32.34	$65.28
United Facility/Professional Professional Modifier Low / Median / High Price $49.53 / $64.98 / $99.29	Professional		$49.53	$64.98	$99.29