Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.88 / $29.51 / $74.13	Facility	26	$21.88	$29.51	$74.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $141.25 / $275.42	Professional		$104.71	$141.25	$275.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $109.65 / $295.12	Professional		$30.90	$109.65	$295.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $114.82 / $223.87	Professional		$64.57	$114.82	$223.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $269.15 / $562.34	Professional		$128.82	$269.15	$562.34
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $26.30 / $46.77 / $125.89	Professional	26	$26.30	$46.77	$125.89
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 / $162.18 / $173.78	Professional		$154.88	$162.18	$173.78
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 $74.13 / $131.83 / $389.05	Professional		$74.13	$131.83	$389.05