Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.55 / $29.73 / $57.40	Facility	26	$22.55	$29.73	$57.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.67 / $148.18 / $242.21	Professional		$111.67	$148.18	$242.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.69 / $109.54 / $294.00	Professional		$30.69	$109.54	$294.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.37 / $135.06 / $237.25	Professional		$69.37	$135.06	$237.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $130.65 / $213.42 / $474.10	Professional		$130.65	$213.42	$474.10
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $26.98 / $39.25 / $112.93	Professional	26	$26.98	$39.25	$112.93
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 $156.08 / $160.84 / $173.41	Professional		$156.08	$160.84	$173.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $33.36 / $181.41	Professional		$32.34	$33.36	$181.41
United Facility/Professional Professional Modifier Low / Median / High Price $77.31 / $157.55 / $421.54	Professional		$77.31	$157.55	$421.54