Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $186.21 / $467.74 / $645.65	Facility	26	$186.21	$467.74	$645.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $630.96 / $1,122.02	Professional		$489.78	$630.96	$1,122.02
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $169.82 / $239.88 / $645.65	Professional	26	$169.82	$239.88	$645.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $707.95 / $1,348.96	Professional		$257.04	$707.95	$1,348.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $794.33 / $1,148.15	Professional		$537.03	$794.33	$1,148.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $181.97 / $269.15 / $389.05	Professional	26	$181.97	$269.15	$389.05
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $1,047.13 / $3,235.94	Professional		$602.56	$1,047.13	$3,235.94
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $208.93 / $295.12 / $1,096.48	Professional	26	$208.93	$295.12	$1,096.48
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 $724.44 / $741.31 / $794.33	Professional		$724.44	$741.31	$794.33
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $223.87 / $245.47 / $263.03	Professional	26	$223.87	$245.47	$263.03
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 $602.56 / $758.58 / $1,071.52	Professional		$602.56	$758.58	$1,071.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $199.53 / $257.04 / $363.08	Professional	26	$199.53	$257.04	$363.08