Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $175.63 / $332.35 / $475.91	Facility	26	$175.63	$332.35	$475.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $507.37 / $580.76 / $1,029.33	Professional		$507.37	$580.76	$1,029.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $174.37 / $191.89 / $332.35	Professional	26	$174.37	$191.89	$332.35
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $146.43 / $146.43 / $146.43	Professional	26	$146.43	$146.43	$146.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $254.52 / $711.50 / $1,363.93	Professional		$254.52	$711.50	$1,363.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $561.64 / $830.14 / $1,226.24	Professional		$561.64	$830.14	$1,226.24
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $194.53 / $274.56 / $427.19	Professional	26	$194.53	$274.56	$427.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $612.67 / $974.72 / $2,966.24	Professional		$612.67	$974.72	$2,966.24
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $210.89 / $305.07 / $876.45	Professional	26	$210.89	$305.07	$876.45
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 $724.07 / $738.75 / $799.40	Professional		$724.07	$738.75	$799.40
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $224.73 / $246.13 / $264.39	Professional	26	$224.73	$246.13	$264.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $298.97 / $836.29	Professional		$32.34	$298.97	$836.29
United Facility/Professional Professional Modifier Low / Median / High Price $607.08 / $794.74 / $1,149.46	Professional		$607.08	$794.74	$1,149.46
United Facility/Professional Professional Modifier 26 Low / Median / High Price $202.97 / $261.30 / $509.80	Professional	26	$202.97	$261.30	$509.80