Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $95.09 / $123.88 / $237.23	Facility	26	$95.09	$123.88	$237.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $297.16 / $421.71 / $607.01	Professional		$297.16	$421.71	$607.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $126.88 / $395.67 / $758.50	Professional		$126.88	$395.67	$758.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $325.23 / $493.94 / $731.94	Professional		$325.23	$493.94	$731.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $376.12 / $571.02 / $2,288.98	Professional		$376.12	$571.02	$2,288.98
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $111.52 / $153.13 / $598.47	Professional	26	$111.52	$153.13	$598.47
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 $402.66 / $411.13 / $444.51	Professional		$402.66	$411.13	$444.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $137.88 / $465.02	Professional		$32.34	$137.88	$465.02
United Facility/Professional Professional Modifier Low / Median / High Price $394.46 / $669.41 / $1,069.73	Professional		$394.46	$669.41	$1,069.73