Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.07 / $8.32 / $131.83	Facility		$4.07	$8.32	$131.83
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $44.67 / $83.18 / $134.90	Facility	26	$44.67	$83.18	$134.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $45.71 / $53.70	Professional		$12.59	$45.71	$53.70
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $45.71 / $97.72	Professional	26	$18.20	$45.71	$97.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $47.86	Professional		$45.71	$45.71	$47.86
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $40.74 / $60.26	Professional	26	$39.81	$40.74	$60.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $89.13 / $239.88	Facility		$23.99	$89.13	$239.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $67.61 / $79.43	Professional		$50.12	$67.61	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.09 / $16.22 / $36.31	Facility		$2.09	$16.22	$36.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $57.54	Professional		$43.65	$43.65	$57.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $40.74 / $53.70	Professional	26	$40.74	$40.74	$53.70
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $69.18 / $141.25	Professional		$45.71	$69.18	$141.25
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $61.66 / $141.25	Professional	26	$42.66	$61.66	$141.25
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 $60.26 / $60.26 / $63.10	Professional		$60.26	$60.26	$63.10
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $56.23 / $58.88	Professional	26	$56.23	$56.23	$58.88
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 Facility Modifier Low / Median / High Price $3.02 / $6.61 / $22.39	Facility		$3.02	$6.61	$22.39
United Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $26.30 / $46.77	Professional		$18.62	$26.30	$46.77
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.62 / $25.70 / $43.65	Professional	26	$18.62	$25.70	$43.65