Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $68.87 / $121.39 / $137.28	Facility	26	$68.87	$121.39	$137.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.94 / $138.58 / $246.34	Professional		$120.94	$138.58	$246.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.04 / $176.02 / $337.44	Professional		$93.04	$176.02	$337.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.68 / $202.46 / $310.27	Professional		$133.68	$202.46	$310.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.84 / $240.70 / $892.64	Professional		$151.84	$240.70	$892.64
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $77.25 / $111.53 / $391.93	Professional	26	$77.25	$111.53	$391.93
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 $179.14 / $181.78 / $195.57	Professional		$179.14	$181.78	$195.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $94.58 / $204.60	Professional		$32.34	$94.58	$204.60
United Facility/Professional Professional Modifier Low / Median / High Price $149.37 / $195.07 / $305.17	Professional		$149.37	$195.07	$305.17