Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $74.09 / $124.16 / $210.96	Facility	26	$74.09	$124.16	$210.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $403.04 / $475.00 / $673.07	Professional		$403.04	$475.00	$673.07
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $73.51 / $100.47 / $154.00	Professional	26	$73.51	$100.47	$154.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.01 / $316.97 / $914.25	Professional		$88.01	$316.97	$914.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $425.32 / $580.21 / $809.33	Professional		$425.32	$580.21	$809.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $74.34 / $98.45 / $149.04	Professional	26	$74.34	$98.45	$149.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $410.69 / $604.83 / $1,288.14	Professional		$410.69	$604.83	$1,288.14
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $77.34 / $102.48 / $210.05	Professional	26	$77.34	$102.48	$210.05
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 $485.36 / $502.42 / $538.77	Professional		$485.36	$502.42	$538.77
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $77.70 / $85.90 / $91.42	Professional	26	$77.70	$85.90	$91.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $103.37 / $609.23	Professional		$32.34	$103.37	$609.23
United Facility/Professional Professional Modifier Low / Median / High Price $436.70 / $567.32 / $881.30	Professional		$436.70	$567.32	$881.30
United Facility/Professional Professional Modifier 26 Low / Median / High Price $73.97 / $93.27 / $139.44	Professional	26	$73.97	$93.27	$139.44