Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $69.56 / $107.90 / $152.94	Facility	26	$69.56	$107.90	$152.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.51 / $164.26 / $247.69	Professional		$141.51	$164.26	$247.69
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.36 / $72.18 / $179.33	Professional	26	$62.36	$72.18	$179.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $133.15 / $144.51 / $182.04	Professional		$133.15	$144.51	$182.04
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $78.22 / $87.47 / $105.20	Professional	26	$78.22	$87.47	$105.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.44 / $148.00 / $268.57	Professional		$75.44	$148.00	$268.57
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $76.80 / $76.80 / $76.80	Facility	26	$76.80	$76.80	$76.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.83 / $209.75 / $334.28	Professional		$147.83	$209.75	$334.28
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.76 / $93.17 / $148.63	Professional	26	$67.76	$93.17	$148.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.34 / $219.07 / $700.26	Professional		$150.34	$219.07	$700.26
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $69.38 / $98.32 / $386.68	Professional	26	$69.38	$98.32	$386.68
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 $186.13 / $187.20 / $204.11	Professional		$186.13	$187.20	$204.11
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $80.95 / $83.54 / $88.43	Professional	26	$80.95	$83.54	$88.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $83.66 / $213.53	Professional		$32.34	$83.66	$213.53
United Facility/Professional Professional Modifier Low / Median / High Price $145.02 / $189.97 / $310.45	Professional		$145.02	$189.97	$310.45
United Facility/Professional Professional Modifier 26 Low / Median / High Price $64.23 / $84.12 / $138.44	Professional	26	$64.23	$84.12	$138.44