Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.99 / $47.86 / $77.62	Facility	26	$23.99	$47.86	$77.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $58.88 / $208.93	Professional		$41.69	$58.88	$208.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $38.90 / $44.67	Professional		$36.31	$38.90	$44.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $60.26 / $109.65	Professional		$32.36	$60.26	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $69.18 / $107.15	Professional		$41.69	$69.18	$107.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $100.00 / $436.52	Professional		$54.95	$100.00	$436.52
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $29.51 / $47.86 / $269.15	Professional	26	$29.51	$47.86	$269.15
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 $57.54 / $58.88 / $63.10	Professional		$57.54	$58.88	$63.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $63.10 / $97.72	Professional		$47.86	$63.10	$97.72