Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $125.00 / $258.99	Facility	26	$100.00	$125.00	$258.99
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $90.00 / $113.40 / $265.00	Professional	26	$90.00	$113.40	$265.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $94.71 / $103.60 / $103.60	Professional	26	$94.71	$103.60	$103.60
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $75.80 / $117.29 / $198.07	Professional	26	$75.80	$117.29	$198.07
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $90.65 / $123.86 / $257.87	Professional	26	$90.65	$123.86	$257.87
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 26 Low / Median / High Price $95.39 / $106.35 / $112.23	Professional	26	$95.39	$106.35	$112.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $87.74 / $108.17 / $186.36	Professional	26	$87.74	$108.17	$186.36