Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $114.82 / $194.98 / $549.54	Facility	26	$114.82	$194.98	$549.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $446.68 / $1,479.11	Professional		$288.40	$446.68	$1,479.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $331.13 / $630.96	Professional		$138.04	$331.13	$630.96
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $144.54 / $144.54 / $144.54	Facility	26	$144.54	$144.54	$144.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $436.52 / $776.25	Professional		$275.42	$436.52	$776.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $758.58 / $3,162.28	Professional		$309.03	$758.58	$3,162.28
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $128.82 / $239.88 / $1,288.25	Professional	26	$128.82	$239.88	$1,288.25
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 $331.13 / $338.84 / $363.08	Professional		$331.13	$338.84	$363.08
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 $309.03 / $457.09 / $776.25	Professional		$309.03	$457.09	$776.25