Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $174.66 / $174.66 / $174.66	Facility	26	$174.66	$174.66	$174.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $341.67 / $406.26 / $772.96	Professional		$341.67	$406.26	$772.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.35 / $63.80 / $144.60	Professional	26	$57.35	$63.80	$144.60
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $33.59 / $68.64 / $100.76	Professional	26	$33.59	$68.64	$100.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.77 / $230.71 / $757.99	Professional		$82.77	$230.71	$757.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.07 / $258.70 / $830.20	Professional		$194.07	$258.70	$830.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.56 / $40.56 / $124.53	Professional	26	$35.56	$40.56	$124.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $501.66 / $713.14 / $1,161.92	Professional		$501.66	$713.14	$1,161.92
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $85.36 / $124.48 / $380.60	Professional	26	$85.36	$124.48	$380.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $101.51 / $722.98	Professional		$32.34	$101.51	$722.98
United Facility/Professional Professional Modifier Low / Median / High Price $246.19 / $426.85 / $742.19	Professional		$246.19	$426.85	$742.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $49.11 / $78.73 / $135.59	Professional	26	$49.11	$78.73	$135.59