Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $70.79 / $131.83 / $229.09	Facility	26	$70.79	$131.83	$229.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $177.83 / $363.08	Professional		$134.90	$177.83	$363.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $75.86 / $181.97	Professional	26	$60.26	$75.86	$181.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $158.49 / $199.53	Professional		$144.54	$158.49	$199.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $186.21 / $389.05	Professional		$95.50	$186.21	$389.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $229.09 / $346.74	Professional		$144.54	$229.09	$346.74
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $102.33 / $158.49	Professional	26	$64.57	$102.33	$158.49
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $309.03 / $741.31	Professional		$190.55	$309.03	$741.31
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $138.04 / $380.19	Professional	26	$85.11	$138.04	$380.19
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 $208.93 / $213.80 / $229.09	Professional		$208.93	$213.80	$229.09
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $93.33 / $93.33 / $97.72	Professional	26	$93.33	$93.33	$97.72
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 $158.49 / $204.17 / $302.00	Professional		$158.49	$204.17	$302.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $91.20 / $141.25	Professional	26	$70.79	$91.20	$141.25