Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $51.69 / $94.59 / $130.01	Facility	26	$51.69	$94.59	$130.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.77 / $126.29 / $243.91	Professional		$103.77	$126.29	$243.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.52 / $142.90 / $273.93	Professional		$69.52	$142.90	$273.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.55 / $188.76 / $632.85	Professional		$108.55	$188.76	$632.85
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $139.83 / $223.72 / $899.91	Professional		$139.83	$223.72	$899.91
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $64.89 / $94.45 / $418.09	Professional	26	$64.89	$94.45	$418.09
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 $143.65 / $145.41 / $160.38	Professional		$143.65	$145.41	$160.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $72.34 / $167.78	Professional		$32.34	$72.34	$167.78
United Facility/Professional Professional Modifier Low / Median / High Price $130.13 / $205.59 / $540.11	Professional		$130.13	$205.59	$540.11