Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $50.13 / $90.82 / $90.82	Facility	26	$50.13	$90.82	$90.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.89 / $96.43 / $178.38	Professional		$71.89	$96.43	$178.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.29 / $51.05 / $103.05	Professional	26	$39.29	$51.05	$103.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.33 / $98.17 / $161.94	Professional		$63.33	$98.17	$161.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.00 / $130.46 / $183.62	Professional		$94.00	$130.46	$183.62
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.57 / $73.73 / $103.79	Professional	26	$52.57	$73.73	$103.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $104.21 / $152.41 / $504.44	Professional		$104.21	$152.41	$504.44
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $54.62 / $82.88 / $299.02	Professional	26	$54.62	$82.88	$299.02
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 $100.35 / $110.08 / $125.63	Professional		$100.35	$110.08	$125.63
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $49.91 / $61.57 / $71.01	Professional	26	$49.91	$61.57	$71.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $61.77 / $142.06	Professional		$32.34	$61.77	$142.06
United Facility/Professional Professional Modifier Low / Median / High Price $89.19 / $134.53 / $207.14	Professional		$89.19	$134.53	$207.14
United Facility/Professional Professional Modifier 26 Low / Median / High Price $51.53 / $72.54 / $110.23	Professional	26	$51.53	$72.54	$110.23