Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.02 / $70.79 / $125.89	Facility	26	$38.02	$70.79	$125.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $102.33 / $190.55	Professional		$79.43	$102.33	$190.55
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.90 / $38.90 / $72.44	Professional	26	$30.90	$38.90	$72.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $128.82 / $251.19	Professional		$52.48	$128.82	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $138.04 / $204.17	Professional		$83.18	$138.04	$204.17
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.48 / $56.23 / $83.18	Professional	26	$35.48	$56.23	$83.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $234.42 / $575.44	Professional		$128.82	$234.42	$575.44
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $85.11 / $269.15	Professional	26	$50.12	$85.11	$269.15
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 $131.83 / $134.90 / $144.54	Professional		$131.83	$134.90	$144.54
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $51.29 / $54.95	Professional	26	$51.29	$51.29	$54.95
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 $95.50 / $125.89 / $190.55	Professional		$95.50	$125.89	$190.55
United Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $50.12 / $77.62	Professional	26	$39.81	$50.12	$77.62