Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.45 / $48.43 / $66.56	Facility	26	$27.45	$48.43	$66.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.69 / $92.16 / $170.34	Professional		$60.69	$92.16	$170.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.60 / $107.12 / $228.17	Professional		$35.60	$107.12	$228.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.34 / $131.71 / $183.15	Professional		$76.34	$131.71	$183.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $113.19 / $157.44 / $340.05	Professional		$113.19	$157.44	$340.05
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $31.44 / $45.90 / $164.33	Professional	26	$31.44	$45.90	$164.33
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 $121.12 / $123.98 / $133.77	Professional		$121.12	$123.98	$133.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $37.72 / $139.94	Professional		$32.34	$37.72	$139.94
United Facility/Professional Professional Modifier Low / Median / High Price $65.73 / $102.09 / $169.09	Professional		$65.73	$102.09	$169.09