Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.03 / $63.69 / $69.52	Facility	26	$37.03	$63.69	$69.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $242.47 / $289.41 / $581.82	Professional		$242.47	$289.41	$581.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.27 / $174.29 / $613.96	Professional		$48.27	$174.29	$613.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $266.57 / $388.15 / $645.79	Professional		$266.57	$388.15	$645.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $275.79 / $401.15 / $1,033.09	Professional		$275.79	$401.15	$1,033.09
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $40.51 / $59.67 / $196.76	Professional	26	$40.51	$59.67	$196.76
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 $325.94 / $336.95 / $362.84	Professional		$325.94	$336.95	$362.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $52.46 / $379.59	Professional		$32.34	$52.46	$379.59
United Facility/Professional Professional Modifier Low / Median / High Price $285.89 / $383.43 / $604.50	Professional		$285.89	$383.43	$604.50