Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $67.34 / $100.00 / $190.00	Facility	26	$67.34	$100.00	$190.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.72 / $100.00 / $265.00	Professional	26	$51.72	$100.00	$265.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $31.52 / $34.54 / $34.54	Professional	26	$31.52	$34.54	$34.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.98 / $39.22 / $66.63	Professional	26	$24.98	$39.22	$66.63
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $30.22 / $41.21 / $85.97	Professional	26	$30.22	$41.21	$85.97
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 $31.80 / $35.22 / $37.40	Professional	26	$31.80	$35.22	$37.40
United Facility/Professional Professional Modifier 26 Low / Median / High Price $29.13 / $37.44 / $62.40	Professional	26	$29.13	$37.44	$62.40