Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.75 / $111.62 / $150.72	Facility	26	$61.75	$111.62	$150.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $289.49 / $331.86 / $602.15	Professional		$289.49	$331.86	$602.15
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.77 / $62.64 / $137.09	Professional	26	$57.77	$62.64	$137.09
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $64.41 / $64.41 / $64.41	Professional	26	$64.41	$64.41	$64.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.61 / $290.63 / $731.60	Professional		$80.61	$290.63	$731.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $268.60 / $454.59 / $763.84	Professional		$268.60	$454.59	$763.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.46 / $90.18 / $146.03	Professional	26	$58.46	$90.18	$146.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $313.70 / $463.97 / $1,862.91	Professional		$313.70	$463.97	$1,862.91
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $67.63 / $98.55 / $412.46	Professional	26	$67.63	$98.55	$412.46
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 $388.39 / $399.92 / $430.83	Professional		$388.39	$399.92	$430.83
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $78.48 / $79.83 / $83.73	Professional	26	$78.48	$79.83	$83.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $87.60 / $450.72	Professional		$32.34	$87.60	$450.72
United Facility/Professional Professional Modifier Low / Median / High Price $313.47 / $451.46 / $757.41	Professional		$313.47	$451.46	$757.41
United Facility/Professional Professional Modifier 26 Low / Median / High Price $68.43 / $84.34 / $137.16	Professional	26	$68.43	$84.34	$137.16