Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.61 / $9.21 / $113.42	Facility		$4.61	$9.21	$113.42
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $44.84 / $45.76 / $134.52	Facility	26	$44.84	$45.76	$134.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.78 / $49.05 / $59.14	Professional		$41.78	$49.05	$59.14
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.97 / $45.76 / $84.66	Professional	26	$21.97	$45.76	$84.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $48.00 / $48.00 / $48.00	Professional		$48.00	$48.00	$48.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $40.36 / $60.53 / $60.53	Professional	26	$40.36	$60.53	$60.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.46 / $84.80 / $228.81	Facility		$24.46	$84.80	$228.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.73 / $69.97 / $78.98	Professional		$49.73	$69.97	$78.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.11 / $16.34 / $36.67	Facility		$6.11	$16.34	$36.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.45 / $43.45 / $57.64	Professional		$43.45	$43.45	$57.64
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.47 / $40.47 / $54.06	Professional	26	$40.47	$40.47	$54.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $46.02 / $68.34 / $129.80	Professional		$46.02	$68.34	$129.80
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $43.13 / $62.78 / $119.91	Professional	26	$43.13	$62.78	$119.91
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
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 $59.83 / $59.90 / $63.01	Professional		$59.83	$59.90	$63.01
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $55.80 / $56.15 / $58.29	Professional	26	$55.80	$56.15	$58.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.34 / $32.34 / $67.26	Professional		$5.34	$32.34	$67.26
United Facility/Professional Professional Modifier Low / Median / High Price $18.57 / $27.62 / $49.11	Professional		$18.57	$27.62	$49.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.55 / $28.48 / $49.09	Professional	26	$18.55	$28.48	$49.09