Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $181.97 / $302.00	Facility	26	$100.00	$181.97	$302.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $95.50 / $125.89 / $302.00	Professional	26	$95.50	$125.89	$302.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $75.86 / $95.50	Professional	26	$75.86	$75.86	$95.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $89.13 / $141.25 / $234.42	Professional	26	$89.13	$141.25	$234.42
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $107.15 / $162.18 / $354.81	Professional	26	$107.15	$162.18	$354.81
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 $123.03 / $125.89 / $131.83	Professional	26	$123.03	$125.89	$131.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $100.00 / $128.82 / $218.78	Professional	26	$100.00	$128.82	$218.78