Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.70 / $47.86 / $83.18	Facility	26	$25.70	$47.86	$83.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $128.82 / $263.03	Professional		$93.33	$128.82	$263.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $123.03 / $263.03	Professional		$34.67	$123.03	$263.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $151.36 / $239.88	Professional		$97.72	$151.36	$239.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $257.04 / $478.63	Professional		$131.83	$257.04	$478.63
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $32.36 / $53.70 / $123.03	Professional	26	$32.36	$53.70	$123.03
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 $154.88 / $158.49 / $169.82	Professional		$154.88	$158.49	$169.82
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 $100.00 / $138.04 / $218.78	Professional		$100.00	$138.04	$218.78