Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.86 / $39.93 / $67.65	Facility	26	$21.86	$39.93	$67.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.72 / $199.53 / $297.93	Professional		$140.72	$199.53	$297.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.22 / $100.90 / $486.39	Professional		$28.22	$100.90	$486.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.87 / $299.35 / $414.65	Professional		$161.87	$299.35	$414.65
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $218.48 / $310.44 / $697.15	Professional		$218.48	$310.44	$697.15
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $24.60 / $33.83 / $96.08	Professional	26	$24.60	$33.83	$96.08
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 $258.20 / $267.58 / $288.26	Professional		$258.20	$267.58	$288.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.67 / $32.34 / $301.57	Professional		$30.67	$32.34	$301.57
United Facility/Professional Professional Modifier Low / Median / High Price $168.09 / $249.00 / $407.92	Professional		$168.09	$249.00	$407.92