Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $125.24 / $211.29 / $280.87	Facility	26	$125.24	$211.29	$280.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $286.66 / $335.85 / $582.66	Professional		$286.66	$335.85	$582.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $150.21 / $537.22 / $1,038.33	Professional		$150.21	$537.22	$1,038.33
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $150.38 / $150.38 / $150.38	Facility	26	$150.38	$150.38	$150.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $404.26 / $643.21 / $1,031.05	Professional		$404.26	$643.21	$1,031.05
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $515.66 / $763.24 / $1,473.84	Professional		$515.66	$763.24	$1,473.84
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $132.03 / $181.63 / $358.53	Professional	26	$132.03	$181.63	$358.53
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 $551.23 / $565.71 / $609.41	Professional		$551.23	$565.71	$609.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $162.85 / $412.08	Professional		$32.34	$162.85	$412.08
United Facility/Professional Professional Modifier Low / Median / High Price $469.55 / $655.35 / $1,106.58	Professional		$469.55	$655.35	$1,106.58