Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $262.91 / $470.64 / $859.65	Facility	26	$262.91	$470.64	$859.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $730.51 / $888.75 / $1,540.88	Professional		$730.51	$888.75	$1,540.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $358.60 / $1,061.60 / $2,035.10	Professional		$358.60	$1,061.60	$2,035.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $844.91 / $1,239.42 / $1,871.06	Professional		$844.91	$1,239.42	$1,871.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $914.17 / $1,454.36 / $4,524.22	Professional		$914.17	$1,454.36	$4,524.22
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $297.37 / $429.83 / $1,255.16	Professional	26	$297.37	$429.83	$1,255.16
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 $1,080.38 / $1,104.16 / $1,193.52	Professional		$1,080.38	$1,104.16	$1,193.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $421.23 / $1,248.59	Professional		$32.34	$421.23	$1,248.59
United Facility/Professional Professional Modifier Low / Median / High Price $914.38 / $1,203.13 / $1,844.23	Professional		$914.38	$1,203.13	$1,844.23