Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $79.43 / $173.78 / $380.19	Facility	26	$79.43	$173.78	$380.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $436.52 / $794.33	Professional		$295.12	$436.52	$794.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $338.84 / $707.95	Professional		$95.50	$338.84	$707.95
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $100.00 / $100.00	Facility	26	$100.00	$100.00	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $501.19 / $870.96	Professional		$323.59	$501.19	$870.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $831.76 / $2,398.83	Professional		$346.74	$831.76	$2,398.83
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $114.82 / $489.78	Professional	26	$81.28	$114.82	$489.78
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 $380.19 / $389.05 / $416.87	Professional		$380.19	$389.05	$416.87
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 $354.81 / $524.81 / $776.25	Professional		$354.81	$524.81	$776.25