Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.51 / $38.07 / $40.38	Facility	26	$22.51	$38.07	$40.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.73 / $83.31 / $140.37	Professional		$69.73	$83.31	$140.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.06 / $94.06 / $180.30	Professional		$29.06	$94.06	$180.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.28 / $109.96 / $175.34	Professional		$62.28	$109.96	$175.34
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $89.60 / $131.22 / $345.40	Professional		$89.60	$131.22	$345.40
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $27.86 / $39.33 / $110.53	Professional	26	$27.86	$39.33	$110.53
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 $95.72 / $97.59 / $105.89	Professional		$95.72	$97.59	$105.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.58 / $32.34 / $110.77	Professional		$31.58	$32.34	$110.77
United Facility/Professional Professional Modifier Low / Median / High Price $80.30 / $111.30 / $173.58	Professional		$80.30	$111.30	$173.58