Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $162.18 / $275.42	Facility	26	$100.00	$162.18	$275.42
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $89.13 / $125.89 / $331.13	Professional	26	$89.13	$125.89	$331.13
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $134.90 / $134.90 / $134.90	Professional	26	$134.90	$134.90	$134.90
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $125.89 / $213.80	Professional	26	$81.28	$125.89	$213.80
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $95.50 / $144.54 / $288.40	Professional	26	$95.50	$144.54	$288.40
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 $109.65 / $112.20 / $117.49	Professional	26	$109.65	$112.20	$117.49
United Facility/Professional Professional Modifier 26 Low / Median / High Price $89.13 / $117.49 / $190.55	Professional	26	$89.13	$117.49	$190.55