Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.31 / $114.82 / $117.49	Facility	26	$36.31	$114.82	$117.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $97.72 / $281.84	Professional		$57.54	$97.72	$281.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $85.11 / $151.36	Professional		$47.86	$85.11	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $131.83 / $269.15	Professional		$64.57	$131.83	$269.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $186.21 / $660.69	Professional		$75.86	$186.21	$660.69
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $83.18 / $389.05	Professional	26	$41.69	$83.18	$389.05
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 $81.28 / $83.18 / $87.10	Professional		$81.28	$83.18	$87.10
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 $81.28 / $147.91 / $229.09	Professional		$81.28	$147.91	$229.09