Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.70 / $48.98 / $85.11	Facility	26	$25.70	$48.98	$85.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $100.00 / $204.17	Professional		$66.07	$100.00	$204.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $83.18	Professional		$83.18	$83.18	$83.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $102.33 / $229.09	Professional		$35.48	$102.33	$229.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $120.23 / $181.97	Professional		$74.13	$120.23	$181.97
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $181.97 / $371.54	Professional		$109.65	$181.97	$371.54
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $30.20 / $50.12 / $199.53	Professional	26	$30.20	$50.12	$199.53
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 $120.23 / $123.03 / $134.90	Professional		$120.23	$123.03	$134.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $44.67	Professional		$32.36	$33.11	$44.67
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $97.72 / $158.49	Professional		$66.07	$97.72	$158.49