Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.24 / $48.63 / $64.33	Facility	26	$26.24	$48.63	$64.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.70 / $122.88 / $174.22	Professional		$99.70	$122.88	$174.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.40 / $122.51 / $274.70	Professional		$34.40	$122.51	$274.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.94 / $156.78 / $232.69	Professional		$97.94	$156.78	$232.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $136.88 / $199.10 / $357.91	Professional		$136.88	$199.10	$357.91
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $32.99 / $46.60 / $86.50	Professional	26	$32.99	$46.60	$86.50
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 $145.83 / $150.03 / $161.77	Professional		$145.83	$150.03	$161.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $37.39 / $169.24	Professional		$32.34	$37.39	$169.24
United Facility/Professional Professional Modifier Low / Median / High Price $107.83 / $145.90 / $252.94	Professional		$107.83	$145.90	$252.94