Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.89 / $39.81 / $67.61	Facility	26	$20.89	$39.81	$67.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $218.78 / $354.81	Professional		$151.36	$218.78	$354.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $218.78 / $489.78	Professional		$28.18	$218.78	$489.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $302.00 / $398.11	Professional		$169.82	$302.00	$398.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $316.23 / $724.44	Professional		$218.78	$316.23	$724.44
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $23.44 / $33.88 / $97.72	Professional	26	$23.44	$33.88	$97.72
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 $257.04 / $269.15 / $288.40	Professional		$257.04	$269.15	$288.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $229.09 / $371.54	Professional		$162.18	$229.09	$371.54