Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.77 / $95.66 / $133.03	Facility	26	$47.77	$95.66	$133.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.77 / $168.64 / $269.94	Professional		$98.77	$168.64	$269.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.15 / $136.12 / $260.95	Professional		$71.15	$136.12	$260.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.69 / $180.13 / $632.70	Professional		$104.69	$180.13	$632.70
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $133.19 / $213.12 / $920.86	Professional		$133.19	$213.12	$920.86
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $64.48 / $96.65 / $461.34	Professional	26	$64.48	$96.65	$461.34
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 $135.47 / $138.53 / $153.05	Professional		$135.47	$138.53	$153.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $73.40 / $160.11	Professional		$32.34	$73.40	$160.11
United Facility/Professional Professional Modifier Low / Median / High Price $128.12 / $195.25 / $476.93	Professional		$128.12	$195.25	$476.93