Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.91 / $33.88 / $35.48	Facility	26	$22.91	$33.88	$35.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $52.48 / $97.72	Professional		$34.67	$52.48	$97.72
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $22.91 / $38.90	Professional	26	$19.05	$22.91	$38.90
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $21.88 / $21.88	Professional	26	$21.88	$21.88	$21.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $47.86 / $102.33	Professional		$22.91	$47.86	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $63.10 / $97.72	Professional		$42.66	$63.10	$97.72
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $29.51 / $45.71	Professional	26	$20.89	$29.51	$45.71
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $79.43 / $144.54	Professional		$48.98	$79.43	$144.54
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $27.54 / $81.28	Professional	26	$19.05	$27.54	$81.28
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 $60.26 / $60.26 / $66.07	Professional		$60.26	$60.26	$66.07
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $24.55 / $26.92	Professional	26	$22.91	$24.55	$26.92
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 $34.67 / $50.12 / $81.28	Professional		$34.67	$50.12	$81.28
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.50 / $27.54 / $43.65	Professional	26	$19.50	$27.54	$43.65