Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $51.29 / $81.28 / $89.13	Facility	26	$51.29	$81.28	$89.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $114.82 / $275.42	Professional		$95.50	$114.82	$275.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Professional		$114.82	$114.82	$114.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $109.65 / $177.83	Professional		$54.95	$109.65	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $141.25 / $234.42	Professional		$100.00	$141.25	$234.42
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $165.96 / $338.84	Professional		$102.33	$165.96	$338.84
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $79.43 / $194.98	Professional	26	$50.12	$79.43	$194.98
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 $123.03 / $131.83 / $144.54	Professional		$123.03	$131.83	$144.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $131.83 / $223.87	Professional		$93.33	$131.83	$223.87