Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.33 / $16.02 / $26.49	Facility	26	$8.33	$16.02	$26.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.63 / $77.48 / $132.38	Professional		$67.63	$77.48	$132.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.05 / $80.12 / $178.35	Professional		$11.05	$80.12	$178.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.34 / $110.16 / $173.57	Professional		$69.34	$110.16	$173.57
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $81.59 / $122.40 / $345.60	Professional		$81.59	$122.40	$345.60
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $9.19 / $12.54 / $27.76	Professional	26	$9.19	$12.54	$27.76
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 $94.68 / $97.08 / $106.08	Professional		$94.68	$97.08	$106.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.70 / $32.34 / $110.98	Professional		$11.70	$32.34	$110.98
United Facility/Professional Professional Modifier Low / Median / High Price $80.19 / $102.29 / $169.38	Professional		$80.19	$102.29	$169.38