Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.08 / $14.79 / $24.55	Facility	26	$7.08	$14.79	$24.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $32.36 / $75.86	Professional		$25.70	$32.36	$75.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $32.36	Professional		$32.36	$32.36	$32.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $34.67 / $75.86	Professional		$10.23	$34.67	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $45.71 / $66.07	Professional		$28.18	$45.71	$66.07
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $104.71 / $190.55	Professional		$40.74	$104.71	$190.55
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $12.30 / $47.86	Professional	26	$8.91	$12.30	$47.86
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 $40.74 / $41.69 / $44.67	Professional		$40.74	$41.69	$44.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $39.81 / $61.66	Professional		$27.54	$39.81	$61.66