Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.99 / $93.82 / $171.00	Facility	26	$52.99	$93.82	$171.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $300.74 / $412.45 / $763.60	Professional		$300.74	$412.45	$763.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.33 / $254.35 / $973.22	Professional		$71.33	$254.35	$973.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.80 / $567.58 / $828.06	Professional		$309.80	$567.58	$828.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $385.77 / $643.84 / $1,278.93	Professional		$385.77	$643.84	$1,278.93
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $62.70 / $90.63 / $189.14	Professional	26	$62.70	$90.63	$189.14
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 $516.66 / $537.15 / $575.65	Professional		$516.66	$537.15	$575.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $83.79 / $602.22	Professional		$32.34	$83.79	$602.22
United Facility/Professional Professional Modifier Low / Median / High Price $334.22 / $504.00 / $946.77	Professional		$334.22	$504.00	$946.77