Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $102.45 / $174.36 / $174.36	Facility	26	$102.45	$174.36	$174.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $236.81 / $429.18 / $595.96	Professional		$236.81	$429.18	$595.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.36 / $353.99 / $784.20	Professional		$123.36	$353.99	$784.20
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $104.54 / $104.54 / $104.54	Facility	26	$104.54	$104.54	$104.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $252.13 / $512.08 / $848.56	Professional		$252.13	$512.08	$848.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $345.40 / $595.79 / $1,663.91	Professional		$345.40	$595.79	$1,663.91
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $98.34 / $155.50 / $506.65	Professional	26	$98.34	$155.50	$506.65
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 $464.48 / $469.42 / $529.62	Professional		$464.48	$469.42	$529.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $93.66 / $554.05	Professional		$32.34	$93.66	$554.05
United Facility/Professional Professional Modifier Low / Median / High Price $263.33 / $422.39 / $810.59	Professional		$263.33	$422.39	$810.59