Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $67.61 / $169.82 / $239.88	Facility	26	$67.61	$169.82	$239.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $245.47 / $407.38	Professional		$177.83	$245.47	$407.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $288.40 / $549.54	Professional		$93.33	$288.40	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $281.84 / $446.68	Professional		$204.17	$281.84	$446.68
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $416.87 / $741.31	Professional		$251.19	$416.87	$741.31
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $107.15 / $257.04	Professional	26	$77.62	$107.15	$257.04
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 $295.12 / $302.00 / $323.59	Professional		$295.12	$302.00	$323.59
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 $194.98 / $263.03 / $389.05	Professional		$194.98	$263.03	$389.05