Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $67.61 / $125.89 / $239.88	Facility	26	$67.61	$125.89	$239.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $151.36 / $257.04	Professional		$120.23	$151.36	$257.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $177.83 / $338.84	Professional		$93.33	$177.83	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $199.53 / $281.84	Professional		$131.83	$199.53	$281.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $288.40 / $977.24	Professional		$151.36	$288.40	$977.24
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $109.65 / $489.78	Professional	26	$77.62	$109.65	$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 $177.83 / $181.97 / $194.98	Professional		$177.83	$181.97	$194.98
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 $147.91 / $190.55 / $269.15	Professional		$147.91	$190.55	$269.15