Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $95.50 / $173.78 / $501.19	Facility	26	$95.50	$173.78	$501.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $389.05 / $812.83	Professional		$275.42	$389.05	$812.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $398.11 / $758.58	Professional		$125.89	$398.11	$758.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $512.86 / $724.44	Professional		$323.59	$512.86	$724.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $776.25 / $2,818.38	Professional		$363.08	$776.25	$2,818.38
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $107.15 / $154.88 / $741.31	Professional	26	$107.15	$154.88	$741.31
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 $398.11 / $407.38 / $446.68	Professional		$398.11	$407.38	$446.68
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 $371.54 / $676.08 / $1,122.02	Professional		$371.54	$676.08	$1,122.02