Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.50 / $62.37 / $65.91	Facility	26	$35.50	$62.37	$65.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.37 / $247.76 / $485.35	Professional		$149.37	$247.76	$485.35
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.10 / $37.07 / $79.87	Professional	26	$33.10	$37.07	$79.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.47 / $170.01 / $582.13	Professional		$47.47	$170.01	$582.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.45 / $356.58 / $602.91	Professional		$166.45	$356.58	$602.91
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.89 / $53.11 / $83.21	Professional	26	$33.89	$53.11	$83.21
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $209.86 / $370.86 / $710.07	Professional		$209.86	$370.86	$710.07
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $39.69 / $57.47 / $108.38	Professional	26	$39.69	$57.47	$108.38
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 $309.04 / $318.86 / $344.37	Professional		$309.04	$318.86	$344.37
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $45.46 / $46.70 / $49.31	Professional	26	$45.46	$46.70	$49.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $51.58 / $360.26	Professional		$32.34	$51.58	$360.26
United Facility/Professional Professional Modifier Low / Median / High Price $175.21 / $303.92 / $567.12	Professional		$175.21	$303.92	$567.12
United Facility/Professional Professional Modifier 26 Low / Median / High Price $39.24 / $49.99 / $79.15	Professional	26	$39.24	$49.99	$79.15