Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $89.98 / $159.47 / $292.80	Facility	26	$89.98	$159.47	$292.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $233.65 / $301.61 / $550.72	Professional		$233.65	$301.61	$550.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.14 / $377.90 / $724.44	Professional		$122.14	$377.90	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $258.66 / $397.02 / $588.37	Professional		$258.66	$397.02	$588.37
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $326.87 / $490.31 / $1,526.55	Professional		$326.87	$490.31	$1,526.55
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $101.33 / $146.40 / $464.69	Professional	26	$101.33	$146.40	$464.69
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 $384.58 / $394.12 / $424.93	Professional		$384.58	$394.12	$424.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $143.47 / $444.54	Professional		$32.34	$143.47	$444.54
United Facility/Professional Professional Modifier Low / Median / High Price $254.84 / $344.60 / $546.97	Professional		$254.84	$344.60	$546.97