Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.93 / $70.70 / $98.02	Facility	26	$38.93	$70.70	$98.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.25 / $103.17 / $156.38	Professional		$81.25	$103.17	$156.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.69 / $38.93 / $70.70	Professional	26	$32.69	$38.93	$70.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.43 / $130.07 / $249.34	Professional		$52.43	$130.07	$249.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.13 / $145.26 / $208.89	Professional		$85.13	$145.26	$208.89
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.61 / $56.56 / $87.28	Professional	26	$34.61	$56.56	$87.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $126.83 / $189.91 / $481.84	Professional		$126.83	$189.91	$481.84
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $50.64 / $71.50 / $240.28	Professional	26	$50.64	$71.50	$240.28
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 $132.37 / $135.28 / $145.22	Professional		$132.37	$135.28	$145.22
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $51.04 / $51.64 / $54.46	Professional	26	$51.04	$51.64	$54.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $56.97 / $151.93	Professional		$32.34	$56.97	$151.93
United Facility/Professional Professional Modifier Low / Median / High Price $96.76 / $131.24 / $206.84	Professional		$96.76	$131.24	$206.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $41.49 / $51.75 / $81.52	Professional	26	$41.49	$51.75	$81.52