Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.68 / $73.05 / $93.37	Facility	26	$37.68	$73.05	$93.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.08 / $107.84 / $166.67	Professional		$91.08	$107.84	$166.67
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.68 / $38.10 / $60.84	Professional	26	$32.68	$38.10	$60.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.94 / $129.10 / $227.11	Professional		$49.94	$129.10	$227.11
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $51.83 / $51.83 / $51.83	Facility	26	$51.83	$51.83	$51.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.32 / $161.69 / $400.28	Professional		$89.32	$161.69	$400.28
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.49 / $54.39 / $83.97	Professional	26	$33.49	$54.39	$83.97
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $125.50 / $194.32 / $858.93	Professional		$125.50	$194.32	$858.93
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $47.88 / $68.00 / $512.11	Professional	26	$47.88	$68.00	$512.11
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 $131.38 / $133.78 / $144.35	Professional		$131.38	$133.78	$144.35
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $47.93 / $49.11 / $51.87	Professional	26	$47.93	$49.11	$51.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $54.26 / $151.01	Professional		$32.34	$54.26	$151.01
United Facility/Professional Professional Modifier Low / Median / High Price $103.54 / $153.79 / $327.22	Professional		$103.54	$153.79	$327.22
United Facility/Professional Professional Modifier 26 Low / Median / High Price $41.49 / $52.75 / $81.45	Professional	26	$41.49	$52.75	$81.45