Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.92 / $66.07 / $85.11	Facility	26	$26.92	$66.07	$85.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $89.13 / $181.97	Professional		$75.86	$89.13	$181.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $107.15 / $204.17	Professional		$35.48	$107.15	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $123.03 / $181.97	Professional		$75.86	$123.03	$181.97
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $194.98 / $741.31	Professional		$102.33	$194.98	$741.31
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $31.62 / $60.26 / $269.15	Professional	26	$31.62	$60.26	$269.15
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 $109.65 / $112.20 / $120.23	Professional		$109.65	$112.20	$120.23
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 $87.10 / $112.20 / $165.96	Professional		$87.10	$112.20	$165.96