Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $118.07 / $171.32 / $193.18	Facility	26	$118.07	$171.32	$193.18
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $54.64 / $74.53 / $81.73	Facility	53	$54.64	$74.53	$81.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $244.40 / $330.43 / $509.07	Professional		$244.40	$330.43	$509.07
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $99.15 / $140.00 / $528.08	Professional	26	$99.15	$140.00	$528.08
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $109.06 / $125.16 / $140.81	Professional	26	$109.06	$125.16	$140.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $115.68 / $244.08 / $471.80	Professional		$115.68	$244.08	$471.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $244.30 / $346.90 / $528.73	Professional		$244.30	$346.90	$528.73
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $109.52 / $146.43 / $215.73	Professional	26	$109.52	$146.43	$215.73
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $255.94 / $363.26 / $1,104.84	Professional		$255.94	$363.26	$1,104.84
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $114.73 / $161.87 / $608.00	Professional	26	$114.73	$161.87	$608.00
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 $277.77 / $282.01 / $302.47	Professional		$277.77	$282.01	$302.47
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $127.87 / $129.55 / $135.59	Professional	26	$127.87	$129.55	$135.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $139.51 / $316.43	Professional		$32.34	$139.51	$316.43
United Facility/Professional Professional Modifier Low / Median / High Price $251.18 / $366.66 / $530.58	Professional		$251.18	$366.66	$530.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $106.97 / $142.63 / $240.72	Professional	26	$106.97	$142.63	$240.72