Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.06 / $24.06 / $69.69	Facility	26	$24.06	$24.06	$69.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.94 / $58.68 / $98.49	Professional		$48.94	$58.68	$98.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $47.94 / $47.94 / $47.94	Professional		$47.94	$47.94	$47.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.07 / $69.37 / $132.97	Professional		$29.07	$69.37	$132.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.18 / $79.17 / $111.50	Professional		$49.18	$79.17	$111.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $65.58 / $95.39 / $377.01	Professional		$65.58	$95.39	$377.01
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $25.55 / $37.17 / $200.53	Professional	26	$25.55	$37.17	$200.53
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 $70.59 / $71.70 / $77.51	Professional		$70.59	$71.70	$77.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.80 / $32.34 / $54.59	Professional		$16.80	$32.34	$54.59
United Facility/Professional Professional Modifier Low / Median / High Price $55.10 / $72.31 / $111.02	Professional		$55.10	$72.31	$111.02