Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $48.35 / $67.39 / $73.62	Facility	26	$48.35	$67.39	$73.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.20 / $83.75 / $138.13	Professional		$65.20	$83.75	$138.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.79 / $48.35 / $77.23	Professional	26	$41.79	$48.35	$77.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $86.97 / $86.97 / $86.97	Professional		$86.97	$86.97	$86.97
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $55.22 / $55.22 / $55.22	Professional	26	$55.22	$55.22	$55.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.35 / $83.88 / $153.88	Professional		$45.35	$83.88	$153.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.22 / $102.07 / $154.69	Professional		$75.22	$102.07	$154.69
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.75 / $59.76 / $95.88	Professional	26	$42.75	$59.76	$95.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $76.67 / $111.52 / $289.91	Professional		$76.67	$111.52	$289.91
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $40.90 / $57.80 / $199.65	Professional	26	$40.90	$57.80	$199.65
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 $90.61 / $91.43 / $98.32	Professional		$90.61	$91.43	$98.32
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $45.19 / $49.84 / $53.17	Professional	26	$45.19	$49.84	$53.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $42.73 / $102.86	Professional		$32.34	$42.73	$102.86
United Facility/Professional Professional Modifier Low / Median / High Price $65.48 / $89.79 / $145.37	Professional		$65.48	$89.79	$145.37
United Facility/Professional Professional Modifier 26 Low / Median / High Price $39.21 / $56.49 / $89.00	Professional	26	$39.21	$56.49	$89.00