Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.82 / $88.49 / $92.91	Facility	26	$60.82	$88.49	$92.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.85 / $153.40 / $232.96	Professional		$114.85	$153.40	$232.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.76 / $162.51 / $303.02	Professional		$88.76	$162.51	$303.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.10 / $176.07 / $270.64	Professional		$110.10	$176.07	$270.64
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $148.97 / $216.70 / $592.14	Professional		$148.97	$216.70	$592.14
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $78.01 / $113.47 / $307.19	Professional	26	$78.01	$113.47	$307.19
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 $159.16 / $160.88 / $176.07	Professional		$159.16	$160.88	$176.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $80.33 / $184.20	Professional		$32.34	$80.33	$184.20
United Facility/Professional Professional Modifier Low / Median / High Price $122.06 / $169.61 / $252.14	Professional		$122.06	$169.61	$252.14