Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $3.98 / $6.17 / $6.17	Facility	26	$3.98	$6.17	$6.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $53.70 / $117.49	Professional		$39.81	$53.70	$117.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $50.12 / $56.23	Professional		$43.65	$50.12	$56.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $13.80 / $83.18	Professional		$4.37	$13.80	$83.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $67.61 / $112.20	Professional		$45.71	$67.61	$112.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $85.11 / $208.93	Professional		$45.71	$85.11	$208.93
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $3.80 / $5.89 / $26.92	Professional	26	$3.80	$5.89	$26.92
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 $56.23 / $57.54 / $63.10	Professional		$56.23	$57.54	$63.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $67.61	Professional		$32.36	$33.11	$67.61
United Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $61.66 / $104.71	Professional		$45.71	$61.66	$104.71