Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $68.87 / $122.78 / $223.05	Facility	26	$68.87	$122.78	$223.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $178.64 / $229.17 / $364.60	Professional		$178.64	$229.17	$364.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.04 / $287.20 / $550.55	Professional		$93.04	$287.20	$550.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $197.85 / $302.82 / $447.06	Professional		$197.85	$302.82	$447.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $248.37 / $372.77 / $724.47	Professional		$248.37	$372.77	$724.47
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $77.25 / $111.53 / $231.59	Professional	26	$77.25	$111.53	$231.59
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 $292.27 / $299.56 / $322.88	Professional		$292.27	$299.56	$322.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $109.29 / $337.78	Professional		$32.34	$109.29	$337.78
United Facility/Professional Professional Modifier Low / Median / High Price $190.72 / $264.56 / $446.33	Professional		$190.72	$264.56	$446.33