Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.78 / $41.35 / $66.87	Facility	26	$20.78	$41.35	$66.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.52 / $46.29 / $101.75	Professional		$39.52	$46.29	$101.75
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.12 / $22.00 / $41.35	Professional	26	$19.12	$22.00	$41.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.89 / $54.60 / $104.67	Professional		$27.89	$54.60	$104.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.88 / $71.55 / $137.47	Professional		$44.88	$71.55	$137.47
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.87 / $32.68 / $51.70	Professional	26	$19.87	$32.68	$51.70
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $51.44 / $81.42 / $264.27	Professional		$51.44	$81.42	$264.27
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $24.63 / $37.89 / $157.22	Professional	26	$24.63	$37.89	$157.22
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 $55.56 / $56.54 / $60.79	Professional		$55.56	$56.54	$60.79
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $27.38 / $27.42 / $28.98	Professional	26	$27.38	$27.42	$28.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.48 / $32.34 / $63.59	Professional		$29.48	$32.34	$63.59
United Facility/Professional Professional Modifier Low / Median / High Price $48.62 / $70.00 / $114.33	Professional		$48.62	$70.00	$114.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.04 / $30.36 / $45.15	Professional	26	$23.04	$30.36	$45.15