Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $162.69 / $272.64	Facility	26	$100.00	$162.69	$272.64
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $100.00 / $125.00 / $185.86	Professional	26	$100.00	$125.00	$185.86
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $90.88 / $90.88 / $90.88	Professional	26	$90.88	$90.88	$90.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $81.53 / $127.24 / $214.20	Professional	26	$81.53	$127.24	$214.20
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $95.22 / $139.05 / $268.56	Professional	26	$95.22	$139.05	$268.56
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 $110.16 / $112.53 / $118.14	Professional	26	$110.16	$112.53	$118.14
United Facility/Professional Professional Modifier 26 Low / Median / High Price $89.39 / $114.41 / $201.33	Professional	26	$89.39	$114.41	$201.33