Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.75 / $15.93 / $15.93	Facility	26	$9.75	$15.93	$15.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.24 / $48.78 / $77.53	Professional		$43.24	$48.78	$77.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $40.65 / $40.65	Professional		$40.65	$40.65	$40.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.52 / $43.45 / $93.40	Professional		$10.52	$43.45	$93.40
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.80 / $10.80 / $10.80	Facility	26	$10.80	$10.80	$10.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.29 / $72.77 / $131.13	Professional		$48.29	$72.77	$131.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $47.85 / $73.08 / $309.35	Professional		$47.85	$73.08	$309.35
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $9.67 / $13.74 / $76.05	Professional	26	$9.67	$13.74	$76.05
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 $56.55 / $57.53 / $63.06	Professional		$56.55	$57.53	$63.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.89 / $32.34 / $65.97	Professional		$12.89	$32.34	$65.97
United Facility/Professional Professional Modifier Low / Median / High Price $48.41 / $69.37 / $129.94	Professional		$48.41	$69.37	$129.94