Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.00 / $88.94 / $116.30	Facility	26	$36.00	$88.94	$116.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.74 / $93.77 / $294.45	Professional		$58.74	$93.77	$294.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.57 / $84.42 / $152.27	Professional		$47.57	$84.42	$152.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.29 / $115.37 / $262.95	Professional		$65.29	$115.37	$262.95
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $143.59 / $143.59 / $143.59	Professional	50	$143.59	$143.59	$143.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $74.20 / $108.82 / $500.18	Professional		$74.20	$108.82	$500.18
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $41.81 / $61.83 / $328.15	Professional	26	$41.81	$61.83	$328.15
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 $80.83 / $82.43 / $87.70	Professional		$80.83	$82.43	$87.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $36.54 / $91.75	Professional		$32.34	$36.54	$91.75
United Facility/Professional Professional Modifier Low / Median / High Price $83.15 / $149.12 / $236.08	Professional		$83.15	$149.12	$236.08