Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.15 / $38.93 / $102.06	Facility	26	$32.15	$38.93	$102.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.37 / $139.01 / $493.37	Professional		$101.37	$139.01	$493.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $82.14 / $99.93 / $154.01	Professional		$82.14	$99.93	$154.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.58 / $119.86 / $253.56	Professional		$42.58	$119.86	$253.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.76 / $154.01 / $222.01	Professional		$97.76	$154.01	$222.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $122.74 / $180.30 / $411.61	Professional		$122.74	$180.30	$411.61
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $37.59 / $54.43 / $192.75	Professional	26	$37.59	$54.43	$192.75
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 $134.62 / $137.88 / $148.30	Professional		$134.62	$137.88	$148.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $46.27 / $155.15	Professional		$32.34	$46.27	$155.15
United Facility/Professional Professional Modifier Low / Median / High Price $109.76 / $141.62 / $213.68	Professional		$109.76	$141.62	$213.68