Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $257.04 / $380.19 / $588.84	Facility	26	$257.04	$380.19	$588.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,071.52 / $1,949.84	Professional		$831.76	$1,071.52	$1,949.84
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $218.78 / $346.74 / $1,023.29	Professional	26	$218.78	$346.74	$1,023.29
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $199.53 / $263.03 / $323.59	Professional	26	$199.53	$263.03	$323.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $870.96 / $1,737.80	Professional		$281.84	$870.96	$1,737.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,288.25 / $1,778.28	Professional		$954.99	$1,288.25	$1,778.28
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $257.04 / $371.54 / $512.86	Professional	26	$257.04	$371.54	$512.86
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,258.93 / $4,897.79	Professional		$794.33	$1,258.93	$4,897.79
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $257.04 / $371.54 / $1,445.44	Professional	26	$257.04	$371.54	$1,445.44
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 $1,023.29 / $1,023.29 / $1,148.15	Professional		$1,023.29	$1,023.29	$1,148.15
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $269.15 / $302.00 / $331.13	Professional	26	$269.15	$302.00	$331.13
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 $912.01 / $1,258.93 / $1,862.09	Professional		$912.01	$1,258.93	$1,862.09
United Facility/Professional Professional Modifier 26 Low / Median / High Price $251.19 / $380.19 / $562.34	Professional	26	$251.19	$380.19	$562.34