Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $62.51 / $113.48 / $202.32	Facility	26	$62.51	$113.48	$202.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.84 / $90.72 / $164.35	Professional		$80.84	$90.72	$164.35
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.33 / $62.51 / $116.00	Professional	26	$58.33	$62.51	$116.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.39 / $143.78 / $217.80	Professional		$84.39	$143.78	$217.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.73 / $142.94 / $311.77	Professional		$98.73	$142.94	$311.77
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $71.05 / $94.41 / $133.11	Professional	26	$71.05	$94.41	$133.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $105.11 / $150.25 / $593.97	Professional		$105.11	$150.25	$593.97
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $74.18 / $102.42 / $467.32	Professional	26	$74.18	$102.42	$467.32
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 $115.62 / $116.19 / $124.22	Professional		$115.62	$116.19	$124.22
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $82.65 / $83.21 / $87.67	Professional	26	$82.65	$83.21	$87.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $41.34 / $140.46	Professional		$32.34	$41.34	$140.46
United Facility/Professional Professional Modifier Low / Median / High Price $94.43 / $129.22 / $243.64	Professional		$94.43	$129.22	$243.64
United Facility/Professional Professional Modifier 26 Low / Median / High Price $68.22 / $86.99 / $138.86	Professional	26	$68.22	$86.99	$138.86