Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.18 / $26.59 / $35.97	Facility	26	$14.18	$26.59	$35.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.23 / $95.11 / $141.93	Professional		$70.23	$95.11	$141.93
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.45 / $14.46 / $26.59	Professional	26	$12.45	$14.46	$26.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.23 / $68.56 / $225.84	Professional		$19.23	$68.56	$225.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.09 / $116.14 / $182.84	Professional		$73.09	$116.14	$182.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.75 / $20.75 / $31.78	Professional	26	$12.75	$20.75	$31.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $107.86 / $162.00 / $295.95	Professional		$107.86	$162.00	$295.95
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $18.21 / $26.08 / $71.47	Professional	26	$18.21	$26.08	$71.47
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 $119.90 / $123.73 / $133.54	Professional		$119.90	$123.73	$133.54
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $18.16 / $18.84 / $19.98	Professional	26	$18.16	$18.84	$19.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.90 / $32.34 / $139.69	Professional		$20.90	$32.34	$139.69
United Facility/Professional Professional Modifier Low / Median / High Price $73.81 / $105.33 / $161.75	Professional		$73.81	$105.33	$161.75
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.84 / $18.85 / $29.45	Professional	26	$14.84	$18.85	$29.45