Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.24 / $48.08 / $65.08	Facility	26	$26.24	$48.08	$65.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.52 / $129.54 / $225.97	Professional		$102.52	$129.54	$225.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.79 / $123.23 / $265.69	Professional		$34.79	$123.23	$265.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.67 / $154.53 / $243.52	Professional		$97.67	$154.53	$243.52
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $131.38 / $206.90 / $422.30	Professional		$131.38	$206.90	$422.30
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $33.06 / $46.87 / $110.53	Professional	26	$33.06	$46.87	$110.53
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 $153.69 / $157.81 / $170.79	Professional		$153.69	$157.81	$170.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $37.82 / $178.68	Professional		$32.34	$37.82	$178.68
United Facility/Professional Professional Modifier Low / Median / High Price $103.34 / $147.75 / $231.26	Professional		$103.34	$147.75	$231.26