Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $263.03 / $660.69 / $912.01	Facility	26	$263.03	$660.69	$912.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $933.25 / $1,698.24	Professional		$724.44	$933.25	$1,698.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $1,071.52 / $2,041.74	Professional		$354.81	$1,071.52	$2,041.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,202.26 / $1,698.24	Professional		$812.83	$1,202.26	$1,698.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,621.81 / $4,897.79	Professional		$891.25	$1,621.81	$4,897.79
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $295.12 / $416.87 / $1,548.82	Professional	26	$295.12	$416.87	$1,548.82
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 $1,071.52 / $1,096.48 / $1,202.26	Professional		$1,071.52	$1,096.48	$1,202.26
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 $912.01 / $1,148.15 / $1,621.81	Professional		$912.01	$1,148.15	$1,621.81