Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.69 / $75.86 / $131.83	Facility	26	$41.69	$75.86	$131.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $112.20 / $181.97	Professional		$87.10	$112.20	$181.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $128.82 / $181.97	Professional		$54.95	$128.82	$181.97
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $56.23 / $56.23 / $56.23	Facility	26	$56.23	$56.23	$56.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $154.88 / $288.40	Professional		$89.13	$154.88	$288.40
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $309.03 / $954.99	Professional		$128.82	$309.03	$954.99
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $83.18 / $467.74	Professional	26	$51.29	$83.18	$467.74
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
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 $107.15 / $154.88 / $275.42	Professional		$107.15	$154.88	$275.42