Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.23 / $45.87 / $60.44	Facility	26	$22.23	$45.87	$60.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.65 / $112.30 / $261.33	Professional		$87.65	$112.30	$261.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.32 / $114.85 / $234.27	Professional		$32.32	$114.85	$234.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.25 / $162.51 / $597.66	Professional		$94.25	$162.51	$597.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $191.34 / $463.94	Professional		$120.00	$191.34	$463.94
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $30.34 / $43.91 / $110.60	Professional	26	$30.34	$43.91	$110.60
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 $124.37 / $126.57 / $138.09	Professional		$124.37	$126.57	$138.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $35.13 / $144.46	Professional		$32.34	$35.13	$144.46
United Facility/Professional Professional Modifier Low / Median / High Price $113.92 / $172.13 / $442.44	Professional		$113.92	$172.13	$442.44