Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $76.67 / $143.72 / $150.44	Facility	26	$76.67	$143.72	$150.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $209.99 / $238.12 / $385.22	Professional		$209.99	$238.12	$385.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.53 / $206.36 / $413.13	Professional		$90.53	$206.36	$413.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.05 / $315.76 / $441.67	Professional		$218.05	$315.76	$441.67
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $231.24 / $336.80 / $740.69	Professional		$231.24	$336.80	$740.69
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $86.34 / $125.58 / $358.95	Professional	26	$86.34	$125.58	$358.95
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 $247.29 / $247.90 / $273.64	Professional		$247.29	$247.90	$273.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $117.74 / $309.44	Professional		$32.34	$117.74	$309.44
United Facility/Professional Professional Modifier Low / Median / High Price $209.91 / $308.64 / $501.94	Professional		$209.91	$308.64	$501.94