Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $65.16 / $85.03 / $159.94	Facility	26	$65.16	$85.03	$159.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $187.21 / $227.78 / $522.50	Professional		$187.21	$227.78	$522.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $160.24 / $160.24 / $160.24	Professional		$160.24	$160.24	$160.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.54 / $249.88 / $479.02	Professional		$85.54	$249.88	$479.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $205.40 / $311.51 / $471.11	Professional		$205.40	$311.51	$471.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $241.73 / $359.48 / $1,480.22	Professional		$241.73	$359.48	$1,480.22
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $75.19 / $103.87 / $414.74	Professional	26	$75.19	$103.87	$414.74
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 $254.31 / $260.08 / $279.83	Professional		$254.31	$260.08	$279.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $92.96 / $292.75	Professional		$32.34	$92.96	$292.75
United Facility/Professional Professional Modifier Low / Median / High Price $246.95 / $442.28 / $927.30	Professional		$246.95	$442.28	$927.30