Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.13 / $26.30 / $45.71	Facility	26	$14.13	$26.30	$45.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $93.33 / $154.88	Professional		$64.57	$93.33	$154.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $14.13 / $31.62	Professional	26	$10.96	$14.13	$31.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $69.18 / $223.87	Professional		$19.05	$69.18	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $109.65 / $181.97	Professional		$72.44	$109.65	$181.97
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $20.89 / $30.90	Professional	26	$12.88	$20.89	$30.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $186.21 / $295.12	Professional		$102.33	$186.21	$295.12
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $28.84 / $74.13	Professional	26	$18.20	$28.84	$74.13
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 $120.23 / $123.03 / $134.90	Professional		$120.23	$123.03	$134.90
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $19.05 / $19.95	Professional	26	$18.20	$19.05	$19.95
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 Professional Modifier Low / Median / High Price $72.44 / $100.00 / $151.36	Professional		$72.44	$100.00	$151.36
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.45 / $18.20 / $27.54	Professional	26	$14.45	$18.20	$27.54