Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $363.08 / $537.03 / $616.60	Facility	26	$363.08	$537.03	$616.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,318.26 / $2,570.40	Professional		$1,096.48	$1,318.26	$2,570.40
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $323.59 / $416.87 / $1,288.25	Professional	26	$323.59	$416.87	$1,288.25
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $275.42 / $416.87 / $575.44	Professional	26	$275.42	$416.87	$575.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,096.48 / $2,187.76	Professional		$398.11	$1,096.48	$2,187.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,659.59 / $2,344.23	Professional		$1,174.90	$1,659.59	$2,344.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $354.81 / $512.86 / $707.95	Professional	26	$354.81	$512.86	$707.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,548.82 / $6,165.95	Professional		$977.24	$1,548.82	$6,165.95
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $354.81 / $512.86 / $2,089.30	Professional	26	$354.81	$512.86	$2,089.30
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 $1,258.93 / $1,288.25 / $1,412.54	Professional		$1,258.93	$1,288.25	$1,412.54
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $371.54 / $416.87 / $467.74	Professional	26	$371.54	$416.87	$467.74
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 $1,202.26 / $1,698.24 / $2,454.71	Professional		$1,202.26	$1,698.24	$2,454.71
United Facility/Professional Professional Modifier 26 Low / Median / High Price $346.74 / $524.81 / $776.25	Professional	26	$346.74	$524.81	$776.25