Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.94 / $15.85 / $26.30	Facility	26	$7.94	$15.85	$26.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $79.43 / $134.90	Professional		$67.61	$79.43	$134.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $39.81 / $177.83	Professional		$10.96	$39.81	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $109.65 / $173.78	Professional		$69.18	$109.65	$173.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $131.83 / $363.08	Professional		$81.28	$131.83	$363.08
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $12.59 / $43.65	Professional	26	$8.91	$12.59	$43.65
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 $95.50 / $97.72 / $107.15	Professional		$95.50	$97.72	$107.15
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 $79.43 / $107.15 / $154.88	Professional		$79.43	$107.15	$154.88