Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $194.98 / $338.84	Facility	26	$100.00	$194.98	$338.84
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $100.00 / $208.93 / $371.54	Professional	26	$100.00	$208.93	$371.54
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $120.23 / $165.96	Professional	26	$85.11	$120.23	$165.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $100.00 / $158.49 / $263.03	Professional	26	$100.00	$158.49	$263.03
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $120.23 / $181.97 / $630.96	Professional	26	$120.23	$181.97	$630.96
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 $138.04 / $141.25 / $147.91	Professional	26	$138.04	$141.25	$147.91
United Facility/Professional Professional Modifier 26 Low / Median / High Price $112.20 / $144.54 / $245.47	Professional	26	$112.20	$144.54	$245.47