Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.66 / $114.82 / $194.98	Facility	26	$61.66	$114.82	$194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $354.81 / $707.95	Professional		$288.40	$354.81	$707.95
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $67.61 / $158.49	Professional	26	$56.23	$67.61	$158.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Professional		$245.47	$245.47	$245.47
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $66.07 / $91.20	Professional	26	$66.07	$66.07	$91.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $288.40 / $724.44	Professional		$81.28	$288.40	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $446.68 / $707.95	Professional		$275.42	$446.68	$707.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $91.20 / $144.54	Professional	26	$57.54	$91.20	$144.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $467.74 / $2,041.74	Professional		$302.00	$467.74	$2,041.74
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $102.33 / $436.52	Professional	26	$67.61	$102.33	$436.52
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 $389.05 / $398.11 / $426.58	Professional		$389.05	$398.11	$426.58
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $79.43 / $83.18	Professional	26	$77.62	$79.43	$83.18
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 $309.03 / $446.68 / $691.83	Professional		$309.03	$446.68	$691.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $87.10 / $128.82	Professional	26	$66.07	$87.10	$128.82