Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.70 / $48.98 / $83.18	Facility	26	$25.70	$48.98	$83.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $123.03 / $223.87	Professional		$91.20	$123.03	$223.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $123.03 / $275.42	Professional		$34.67	$123.03	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $147.91 / $234.42	Professional		$97.72	$147.91	$234.42
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $223.87 / $354.81	Professional		$138.04	$223.87	$354.81
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $33.11 / $50.12 / $97.72	Professional	26	$33.11	$50.12	$97.72
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 $144.54 / $151.36 / $162.18	Professional		$144.54	$151.36	$162.18
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 $102.33 / $141.25 / $223.87	Professional		$102.33	$141.25	$223.87