Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.77 / $83.19 / $99.33	Facility	26	$52.77	$83.19	$99.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.77 / $320.67 / $682.86	Professional		$275.77	$320.67	$682.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.15 / $248.71 / $699.08	Professional		$69.15	$248.71	$699.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.14 / $428.34 / $729.12	Professional		$257.14	$428.34	$729.12
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $294.02 / $444.21 / $1,928.80	Professional		$294.02	$444.21	$1,928.80
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $58.02 / $84.55 / $399.96	Professional	26	$58.02	$84.55	$399.96
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 $371.12 / $382.24 / $412.48	Professional		$371.12	$382.24	$412.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $75.15 / $431.51	Professional		$32.34	$75.15	$431.51
United Facility/Professional Professional Modifier Low / Median / High Price $294.50 / $419.36 / $710.76	Professional		$294.50	$419.36	$710.76