Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $79.08 / $137.86 / $148.28	Facility	26	$79.08	$137.86	$148.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.35 / $137.41 / $233.32	Professional		$116.35	$137.41	$233.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $128.52 / $128.52 / $128.52	Professional		$128.52	$128.52	$128.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.77 / $195.02 / $307.74	Professional		$104.77	$195.02	$307.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.57 / $199.41 / $289.44	Professional		$118.57	$199.41	$289.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $138.24 / $219.92 / $681.95	Professional		$138.24	$219.92	$681.95
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $88.00 / $142.32 / $537.79	Professional	26	$88.00	$142.32	$537.79
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 Low / Median / High Price $163.37 / $163.46 / $176.35	Professional		$163.37	$163.46	$176.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $76.34 / $184.48	Professional		$32.34	$76.34	$184.48
United Facility/Professional Professional Modifier Low / Median / High Price $141.22 / $176.56 / $283.85	Professional		$141.22	$176.56	$283.85