Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.74 / $39.64 / $60.60	Facility	26	$25.74	$39.64	$60.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.38 / $137.59 / $193.77	Professional		$113.38	$137.59	$193.77
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.97 / $25.10 / $34.39	Professional	26	$21.97	$25.10	$34.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $124.77 / $135.40 / $137.35	Professional		$124.77	$135.40	$137.35
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $20.14 / $20.14 / $20.14	Professional	26	$20.14	$20.14	$20.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.81 / $85.66 / $254.90	Professional		$26.81	$85.66	$254.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.58 / $196.99 / $296.57	Professional		$143.58	$196.99	$296.57
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.21 / $32.63 / $51.07	Professional	26	$23.21	$32.63	$51.07
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $156.62 / $225.95 / $581.59	Professional		$156.62	$225.95	$581.59
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $24.64 / $34.70 / $94.86	Professional	26	$24.64	$34.70	$94.86
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 $169.68 / $172.78 / $189.70	Professional		$169.68	$172.78	$189.70
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $26.69 / $26.71 / $31.42	Professional	26	$26.69	$26.71	$31.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.86 / $182.25	Professional		$32.34	$32.86	$182.25
United Facility/Professional Professional Modifier Low / Median / High Price $140.06 / $193.24 / $320.32	Professional		$140.06	$193.24	$320.32
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.31 / $34.27 / $56.15	Professional	26	$24.31	$34.27	$56.15