Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $174.40 / $203.21	Facility	26	$100.00	$174.40	$203.21
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $100.00 / $200.56 / $482.49	Professional	26	$100.00	$200.56	$482.49
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $136.91 / $136.91 / $152.88	Professional	26	$136.91	$136.91	$152.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $99.66 / $159.74 / $263.80	Professional	26	$99.66	$159.74	$263.80
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $119.50 / $174.57 / $530.12	Professional	26	$119.50	$174.57	$530.12
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 $138.31 / $141.22 / $148.33	Professional	26	$138.31	$141.22	$148.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $112.59 / $144.75 / $260.24	Professional	26	$112.59	$144.75	$260.24