Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.55 / $31.22 / $51.09	Facility	26	$19.55	$31.22	$51.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.71 / $79.25 / $157.32	Professional		$57.71	$79.25	$157.32
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.53 / $20.14 / $42.47	Professional	26	$17.53	$20.14	$42.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $83.87 / $83.87 / $87.52	Professional		$83.87	$83.87	$87.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.06 / $64.28 / $117.10	Professional		$21.06	$64.28	$117.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.57 / $93.67 / $130.44	Professional		$40.57	$93.67	$130.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.37 / $25.86 / $36.93	Professional	26	$19.37	$25.86	$36.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $72.70 / $105.38 / $194.17	Professional		$72.70	$105.38	$194.17
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $20.68 / $27.44 / $50.39	Professional	26	$20.68	$27.44	$50.39
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 $85.93 / $88.93 / $94.81	Professional		$85.93	$88.93	$94.81
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $20.98 / $23.35 / $24.69	Professional	26	$20.98	$23.35	$24.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.92 / $32.34 / $107.21	Professional		$27.92	$32.34	$107.21
United Facility/Professional Professional Modifier Low / Median / High Price $48.29 / $86.03 / $159.88	Professional		$48.29	$86.03	$159.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.46 / $23.88 / $40.74	Professional	26	$17.46	$23.88	$40.74