Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $80.63 / $135.87 / $178.33	Facility	26	$80.63	$135.87	$178.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $300.45 / $402.08 / $577.39	Professional		$300.45	$402.08	$577.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.37 / $342.09 / $708.37	Professional		$95.37	$342.09	$708.37
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $99.90 / $99.90 / $99.90	Facility	26	$99.90	$99.90	$99.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $320.06 / $494.46 / $799.37	Professional		$320.06	$494.46	$799.37
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $352.07 / $535.15 / $1,974.89	Professional		$352.07	$535.15	$1,974.89
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $83.83 / $116.60 / $402.01	Professional	26	$83.83	$116.60	$402.01
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 $376.05 / $386.58 / $416.08	Professional		$376.05	$386.58	$416.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $103.65 / $435.28	Professional		$32.34	$103.65	$435.28
United Facility/Professional Professional Modifier Low / Median / High Price $374.38 / $538.82 / $809.91	Professional		$374.38	$538.82	$809.91