Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.86 / $67.61 / $72.44	Facility	26	$47.86	$67.61	$72.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $89.13 / $154.88	Professional		$66.07	$89.13	$154.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $47.86 / $104.71	Professional	26	$38.90	$47.86	$104.71
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $46.77 / $46.77 / $54.95	Professional	26	$46.77	$46.77	$54.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $83.18 / $131.83	Professional		$45.71	$83.18	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $100.00 / $151.36	Professional		$72.44	$100.00	$151.36
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $58.88 / $91.20	Professional	26	$41.69	$58.88	$91.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $123.03 / $288.40	Professional		$74.13	$123.03	$288.40
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $54.95 / $213.80	Professional	26	$38.02	$54.95	$213.80
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 $91.20 / $91.20 / $97.72	Professional		$91.20	$91.20	$97.72
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $50.12 / $53.70	Professional	26	$45.71	$50.12	$53.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $89.13 / $134.90	Professional		$64.57	$89.13	$134.90
United Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $54.95 / $87.10	Professional	26	$39.81	$54.95	$87.10