Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.71 / $14.81 / $19.14	Facility	26	$7.71	$14.81	$19.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.90 / $32.36 / $59.04	Professional		$27.90	$32.36	$59.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.47 / $20.47 / $20.47	Professional		$20.47	$20.47	$20.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $34.29 / $76.33	Professional		$10.23	$34.29	$76.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.96 / $45.68 / $66.26	Professional		$27.96	$45.68	$66.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $39.74 / $60.62 / $169.18	Professional		$39.74	$60.62	$169.18
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $9.00 / $12.35 / $38.59	Professional	26	$9.00	$12.35	$38.59
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 $40.52 / $41.24 / $45.03	Professional		$40.52	$41.24	$45.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.12 / $32.34 / $47.11	Professional		$11.12	$32.34	$47.11
United Facility/Professional Professional Modifier Low / Median / High Price $29.76 / $41.23 / $68.53	Professional		$29.76	$41.23	$68.53