Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.51 / $25.12 / $42.66	Facility	26	$8.51	$25.12	$42.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $138.04 / $269.15	Professional		$114.82	$138.04	$269.15
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $25.12 / $50.12	Professional	26	$20.89	$25.12	$50.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $134.90 / $223.87	Professional		$131.83	$134.90	$223.87
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $21.88 / $22.91	Professional	26	$20.89	$21.88	$22.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $85.11 / $257.04	Professional		$26.92	$85.11	$257.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $194.98 / $309.03	Professional		$138.04	$194.98	$309.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.44 / $33.11 / $53.70	Professional	26	$23.44	$33.11	$53.70
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $257.04 / $645.65	Professional		$154.88	$257.04	$645.65
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $24.55 / $33.88 / $114.82	Professional	26	$24.55	$33.88	$114.82
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 $169.82 / $173.78 / $190.55	Professional		$169.82	$173.78	$190.55
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $26.92 / $26.92 / $31.62	Professional	26	$26.92	$26.92	$31.62
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 $141.25 / $186.21 / $288.40	Professional		$141.25	$186.21	$288.40
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.44 / $31.62 / $50.12	Professional	26	$23.44	$31.62	$50.12