Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.99 / $53.70 / $69.18	Facility	26	$23.99	$53.70	$69.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $57.54 / $109.65	Professional		$46.77	$57.54	$109.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $69.18 / $131.83	Professional		$28.84	$69.18	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $77.62 / $114.82	Professional		$50.12	$77.62	$114.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $134.90 / $467.74	Professional		$66.07	$134.90	$467.74
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $48.98 / $239.88	Professional	26	$25.70	$48.98	$239.88
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 $70.79 / $72.44 / $77.62	Professional		$70.79	$72.44	$77.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $28.18 / $39.81	Professional		$16.98	$28.18	$39.81
United Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $69.18 / $102.33	Professional		$53.70	$69.18	$102.33