Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.65 / $52.36 / $52.36	Facility	26	$31.65	$52.36	$52.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.50 / $90.05 / $135.34	Professional		$80.50	$90.05	$135.34
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.79 / $31.69 / $45.80	Professional	26	$28.79	$31.69	$45.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $76.01 / $76.01 / $76.01	Professional		$76.01	$76.01	$76.01
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $27.12 / $27.12 / $27.12	Professional	26	$27.12	$27.12	$27.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.08 / $83.56 / $156.86	Professional		$34.08	$83.56	$156.86
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.04 / $36.04 / $36.04	Facility	26	$36.04	$36.04	$36.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.83 / $121.13 / $189.86	Professional		$89.83	$121.13	$189.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.81 / $43.03 / $69.45	Professional	26	$31.81	$43.03	$69.45
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $89.83 / $129.93 / $388.90	Professional		$89.83	$129.93	$388.90
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $31.06 / $43.02 / $168.52	Professional	26	$31.06	$43.02	$168.52
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 $106.16 / $108.06 / $116.49	Professional		$106.16	$108.06	$116.49
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $33.96 / $38.43 / $39.95	Professional	26	$33.96	$38.43	$39.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $41.41 / $121.87	Professional		$32.34	$41.41	$121.87
United Facility/Professional Professional Modifier Low / Median / High Price $84.44 / $112.88 / $180.31	Professional		$84.44	$112.88	$180.31
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.42 / $41.10 / $67.81	Professional	26	$30.42	$41.10	$67.81