Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.46 / $27.46 / $85.38	Facility	26	$27.46	$27.46	$85.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.09 / $89.49 / $155.13	Professional		$77.09	$89.49	$155.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $74.53 / $74.53 / $74.53	Professional		$74.53	$74.53	$74.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.61 / $107.30 / $205.70	Professional		$35.61	$107.30	$205.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.58 / $125.07 / $179.31	Professional		$76.58	$125.07	$179.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $101.90 / $148.22 / $596.94	Professional		$101.90	$148.22	$596.94
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $31.31 / $45.54 / $227.88	Professional	26	$31.31	$45.54	$227.88
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 $109.20 / $111.49 / $120.43	Professional		$109.20	$111.49	$120.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $38.71 / $125.99	Professional		$32.34	$38.71	$125.99
United Facility/Professional Professional Modifier Low / Median / High Price $91.78 / $114.49 / $175.91	Professional		$91.78	$114.49	$175.91