Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.92 / $41.92 / $44.04	Facility	26	$22.92	$41.92	$44.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.50 / $60.71 / $103.40	Professional		$51.50	$60.71	$103.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.91 / $70.76 / $135.65	Professional		$31.91	$70.76	$135.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.24 / $82.21 / $122.01	Professional		$48.24	$82.21	$122.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $70.64 / $103.51 / $292.04	Professional		$70.64	$103.51	$292.04
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $29.96 / $43.33 / $170.54	Professional	26	$29.96	$43.33	$170.54
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 $72.02 / $72.09 / $79.16	Professional		$72.02	$72.09	$79.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $82.81	Professional		$32.34	$32.34	$82.81
United Facility/Professional Professional Modifier Low / Median / High Price $57.26 / $75.05 / $117.14	Professional		$57.26	$75.05	$117.14