Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $407.60 / $551.88 / $597.46	Facility	26	$407.60	$551.88	$597.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,118.21 / $1,325.79 / $1,875.02	Professional		$1,118.21	$1,325.79	$1,875.02
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $323.01 / $377.46 / $717.81	Professional	26	$323.01	$377.46	$717.81
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $305.31 / $305.31 / $305.31	Professional	26	$305.31	$305.31	$305.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $395.55 / $1,089.29 / $2,168.69	Professional		$395.55	$1,089.29	$2,168.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,173.02 / $1,645.28 / $2,362.00	Professional		$1,173.02	$1,645.28	$2,362.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $358.54 / $511.05 / $713.64	Professional	26	$358.54	$511.05	$713.64
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,080.43 / $1,571.54 / $4,884.97	Professional		$1,080.43	$1,571.54	$4,884.97
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $363.79 / $516.82 / $2,081.34	Professional	26	$363.79	$516.82	$2,081.34
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 $1,268.86 / $1,276.86 / $1,425.91	Professional		$1,268.86	$1,276.86	$1,425.91
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $371.98 / $419.91 / $463.66	Professional	26	$371.98	$419.91	$463.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $485.06 / $1,491.72	Professional		$32.34	$485.06	$1,491.72
United Facility/Professional Professional Modifier Low / Median / High Price $1,170.79 / $1,688.64 / $2,798.87	Professional		$1,170.79	$1,688.64	$2,798.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $362.24 / $538.83 / $872.40	Professional	26	$362.24	$538.83	$872.40