Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $74.13 / $162.18 / $354.81	Facility	26	$74.13	$162.18	$354.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $549.54 / $1,023.29	Professional		$398.11	$549.54	$1,023.29
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $104.71 / $177.83	Professional	26	$70.79	$104.71	$177.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $316.23 / $912.01	Professional		$87.10	$316.23	$912.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $575.44 / $776.25	Professional		$380.19	$575.44	$776.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $97.72 / $151.36	Professional	26	$74.13	$97.72	$151.36
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $602.56 / $1,288.25	Professional		$389.05	$602.56	$1,288.25
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $100.00 / $208.93	Professional	26	$74.13	$100.00	$208.93
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 $489.78 / $501.19 / $537.03	Professional		$489.78	$501.19	$537.03
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $85.11 / $91.20	Professional	26	$77.62	$85.11	$91.20
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 $407.38 / $524.81 / $812.83	Professional		$407.38	$524.81	$812.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $89.13 / $131.83	Professional	26	$70.79	$89.13	$131.83