Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $456.36 / $649.98 / $924.93	Facility	26	$456.36	$649.98	$924.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,195.30 / $1,472.74 / $2,194.38	Professional		$1,195.30	$1,472.74	$2,194.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $362.38 / $456.36 / $844.27	Professional	26	$362.38	$456.36	$844.27
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $342.56 / $342.56 / $376.82	Professional	26	$342.56	$342.56	$376.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $444.13 / $1,209.18 / $2,407.38	Professional		$444.13	$1,209.18	$2,407.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,303.25 / $1,814.04 / $2,530.76	Professional		$1,303.25	$1,814.04	$2,530.76
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $402.25 / $571.29 / $798.97	Professional	26	$402.25	$571.29	$798.97
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,199.34 / $1,744.51 / $6,592.73	Professional		$1,199.34	$1,744.51	$6,592.73
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $408.48 / $579.80 / $2,432.01	Professional	26	$408.48	$579.80	$2,432.01
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 $1,407.26 / $1,417.42 / $1,583.09	Professional		$1,407.26	$1,417.42	$1,583.09
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $416.61 / $471.09 / $520.61	Professional	26	$416.61	$471.09	$520.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $544.64 / $1,656.15	Professional		$32.34	$544.64	$1,656.15
United Facility/Professional Professional Modifier Low / Median / High Price $1,321.96 / $1,885.98 / $3,097.35	Professional		$1,321.96	$1,885.98	$3,097.35
United Facility/Professional Professional Modifier 26 Low / Median / High Price $391.57 / $588.01 / $976.70	Professional	26	$391.57	$588.01	$976.70