Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.87 / $76.56 / $102.54	Facility	26	$42.87	$76.56	$102.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.46 / $110.25 / $158.52	Professional		$94.46	$110.25	$158.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.84 / $129.96 / $202.49	Professional		$54.84	$129.96	$202.49
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $56.24 / $56.24 / $56.24	Facility	26	$56.24	$56.24	$56.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.42 / $167.48 / $316.27	Professional		$96.42	$167.48	$316.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $125.95 / $195.39 / $796.36	Professional		$125.95	$195.39	$796.36
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $52.25 / $74.52 / $413.29	Professional	26	$52.25	$74.52	$413.29
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 $132.26 / $134.07 / $145.15	Professional		$132.26	$134.07	$145.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $59.60 / $151.84	Professional		$32.34	$59.60	$151.84
United Facility/Professional Professional Modifier Low / Median / High Price $107.65 / $158.65 / $273.27	Professional		$107.65	$158.65	$273.27