Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $4.01 / $6.12 / $6.12	Facility	26	$4.01	$6.12	$6.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.11 / $49.63 / $74.00	Professional		$41.11	$49.63	$74.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.44 / $35.44 / $56.80	Professional		$35.44	$35.44	$56.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.34 / $17.36 / $83.11	Professional		$4.34	$17.36	$83.11
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $4.21 / $4.21 / $4.21	Facility	26	$4.21	$4.21	$4.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.47 / $69.23 / $111.11	Professional		$46.47	$69.23	$111.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $47.61 / $70.45 / $207.19	Professional		$47.61	$70.45	$207.19
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $3.83 / $5.51 / $23.04	Professional	26	$3.83	$5.51	$23.04
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 $56.26 / $57.95 / $63.17	Professional		$56.26	$57.95	$63.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.34 / $32.34 / $66.08	Professional		$5.34	$32.34	$66.08
United Facility/Professional Professional Modifier Low / Median / High Price $46.69 / $63.69 / $108.25	Professional		$46.69	$63.69	$108.25