Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.22 / $57.79 / $63.83	Facility	26	$34.22	$57.79	$63.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.98 / $95.72 / $170.12	Professional		$81.98	$95.72	$170.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $101.21 / $201.83	Professional		$47.86	$101.21	$201.83
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.40 / $43.40 / $43.40	Facility	26	$43.40	$43.40	$43.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.24 / $133.21 / $209.16	Professional		$86.24	$133.21	$209.16
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $104.67 / $142.72 / $415.82	Professional		$104.67	$142.72	$415.82
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $42.06 / $57.36 / $230.06	Professional	26	$42.06	$57.36	$230.06
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 $112.79 / $113.80 / $123.70	Professional		$112.79	$113.80	$123.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $52.01 / $129.40	Professional		$32.34	$52.01	$129.40
United Facility/Professional Professional Modifier Low / Median / High Price $95.66 / $126.84 / $190.11	Professional		$95.66	$126.84	$190.11