Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $66.44 / $118.65 / $215.22	Facility	26	$66.44	$118.65	$215.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $369.25 / $455.35 / $754.63	Professional		$369.25	$455.35	$754.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.79 / $320.00 / $1,192.17	Professional		$89.79	$320.00	$1,192.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.16 / $624.33 / $966.36	Professional		$281.16	$624.33	$966.36
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $389.47 / $788.69 / $1,507.81	Professional		$389.47	$788.69	$1,507.81
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $78.91 / $114.78 / $250.66	Professional	26	$78.91	$114.78	$250.66
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 $632.89 / $656.23 / $705.77	Professional		$632.89	$656.23	$705.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $105.46 / $738.34	Professional		$32.34	$105.46	$738.34
United Facility/Professional Professional Modifier Low / Median / High Price $376.10 / $564.72 / $880.90	Professional		$376.10	$564.72	$880.90