Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.89 / $70.69 / $104.22	Facility	26	$32.89	$70.69	$104.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.68 / $65.43 / $142.13	Professional		$48.68	$65.43	$142.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.69 / $38.31 / $70.69	Professional	26	$30.69	$38.31	$70.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.47 / $80.68 / $127.29	Professional		$43.47	$80.68	$127.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.16 / $87.50 / $174.29	Professional		$54.16	$87.50	$174.29
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.14 / $52.10 / $85.56	Professional	26	$31.14	$52.10	$85.56
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $88.33 / $88.33 / $88.33	Professional	50	$88.33	$88.33	$88.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $62.15 / $98.42 / $271.67	Professional		$62.15	$98.42	$271.67
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $38.39 / $59.31 / $193.70	Professional	26	$38.39	$59.31	$193.70
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 $67.56 / $68.64 / $73.11	Professional		$67.56	$68.64	$73.11
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $42.84 / $43.15 / $45.16	Professional	26	$42.84	$43.15	$45.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.24 / $32.34 / $76.48	Professional		$29.24	$32.34	$76.48
United Facility/Professional Professional Modifier Low / Median / High Price $62.27 / $97.54 / $154.78	Professional		$62.27	$97.54	$154.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $36.36 / $50.78 / $73.20	Professional	26	$36.36	$50.78	$73.20