Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $144.87 / $247.09 / $327.52	Facility	26	$144.87	$247.09	$327.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $419.58 / $520.27 / $988.39	Professional		$419.58	$520.27	$988.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $175.16 / $495.04 / $948.98	Professional		$175.16	$495.04	$948.98
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $189.70 / $189.70 / $189.70	Facility	26	$189.70	$189.70	$189.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.28 / $651.54 / $1,278.50	Professional		$426.28	$651.54	$1,278.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $468.42 / $711.15 / $5,029.39	Professional		$468.42	$711.15	$5,029.39
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $153.97 / $212.93 / $1,256.85	Professional	26	$153.97	$212.93	$1,256.85
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 $503.79 / $515.37 / $553.59	Professional		$503.79	$515.37	$553.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $190.36 / $579.14	Professional		$32.34	$190.36	$579.14
United Facility/Professional Professional Modifier Low / Median / High Price $499.45 / $757.67 / $1,240.97	Professional		$499.45	$757.67	$1,240.97