Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $94.84 / $173.80 / $237.37	Facility	26	$94.84	$173.80	$237.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.44 / $229.89 / $361.78	Professional		$165.44	$229.89	$361.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $126.95 / $303.02 / $580.91	Professional		$126.95	$303.02	$580.91
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $113.41 / $113.41 / $113.41	Facility	26	$113.41	$113.41	$113.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $207.81 / $325.33 / $463.28	Professional		$207.81	$325.33	$463.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $260.94 / $371.84 / $628.83	Professional		$260.94	$371.84	$628.83
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $111.58 / $152.16 / $297.27	Professional	26	$111.58	$152.16	$297.27
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 $308.39 / $314.25 / $338.35	Professional		$308.39	$314.25	$338.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $137.96 / $353.97	Professional		$32.34	$137.96	$353.97
United Facility/Professional Professional Modifier Low / Median / High Price $210.27 / $276.56 / $434.01	Professional		$210.27	$276.56	$434.01