Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.78 / $93.49 / $123.11	Facility	26	$46.78	$93.49	$123.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.31 / $203.26 / $303.25	Professional		$122.31	$203.26	$303.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.84 / $169.45 / $314.47	Professional		$65.84	$169.45	$314.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.51 / $219.35 / $632.00	Professional		$129.51	$219.35	$632.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $163.08 / $265.30 / $1,461.00	Professional		$163.08	$265.30	$1,461.00
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $63.13 / $89.44 / $678.32	Professional	26	$63.13	$89.44	$678.32
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 $172.45 / $173.42 / $190.10	Professional		$172.45	$173.42	$190.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $71.55 / $198.87	Professional		$32.34	$71.55	$198.87
United Facility/Professional Professional Modifier Low / Median / High Price $153.46 / $233.75 / $533.98	Professional		$153.46	$233.75	$533.98