Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $81.28 / $177.83 / $380.19	Facility	26	$81.28	$177.83	$380.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $426.58 / $933.25	Professional		$275.42	$426.58	$933.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $316.23 / $602.56	Professional		$95.50	$316.23	$602.56
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $100.00 / $100.00	Facility	26	$100.00	$100.00	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $478.63 / $870.96	Professional		$275.42	$478.63	$870.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $758.58 / $2,818.38	Professional		$302.00	$758.58	$2,818.38
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $91.20 / $151.36 / $870.96	Professional	26	$91.20	$151.36	$870.96
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 $316.23 / $331.13 / $354.81	Professional		$316.23	$331.13	$354.81
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 $302.00 / $501.19 / $831.76	Professional		$302.00	$501.19	$831.76