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 $296.06 / $341.22 / $571.72	Professional		$296.06	$341.22	$571.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.04 / $292.38 / $812.46	Professional		$93.04	$292.38	$812.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $335.60 / $497.67 / $721.93	Professional		$335.60	$497.67	$721.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $364.96 / $580.69 / $1,753.87	Professional		$364.96	$580.69	$1,753.87
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $77.25 / $111.53 / $329.08	Professional	26	$77.25	$111.53	$329.08
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 $431.31 / $444.05 / $479.43	Professional		$431.31	$444.05	$479.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $101.12 / $501.55	Professional		$32.34	$101.12	$501.55
United Facility/Professional Professional Modifier Low / Median / High Price $353.64 / $459.43 / $733.59	Professional		$353.64	$459.43	$733.59