Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $429.75 / $764.11 / $1,407.90	Facility	26	$429.75	$764.11	$1,407.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $740.75 / $851.91 / $1,616.86	Professional		$740.75	$851.91	$1,616.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $403.60 / $521.65 / $1,058.38	Professional	26	$403.60	$521.65	$1,058.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $587.29 / $1,099.80 / $2,108.30	Professional		$587.29	$1,099.80	$2,108.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $790.92 / $1,202.96 / $1,714.18	Professional		$790.92	$1,202.96	$1,714.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $474.26 / $658.38 / $996.00	Professional	26	$474.26	$658.38	$996.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $947.05 / $1,412.03 / $2,801.57	Professional		$947.05	$1,412.03	$2,801.57
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $516.23 / $780.25 / $1,743.29	Professional	26	$516.23	$780.25	$1,743.29
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 $1,119.24 / $1,130.85 / $1,223.76	Professional		$1,119.24	$1,130.85	$1,223.76
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $567.26 / $574.96 / $610.09	Professional	26	$567.26	$574.96	$610.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $586.14 / $1,280.24	Professional		$32.34	$586.14	$1,280.24
United Facility/Professional Professional Modifier Low / Median / High Price $849.17 / $1,095.86 / $1,686.10	Professional		$849.17	$1,095.86	$1,686.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $474.58 / $641.54 / $945.59	Professional	26	$474.58	$641.54	$945.59