Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.14 / $35.64 / $60.81	Facility	26	$19.14	$35.64	$60.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.27 / $180.61 / $359.96	Professional		$149.27	$180.61	$359.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.37 / $91.13 / $384.55	Professional		$25.37	$91.13	$384.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.90 / $236.83 / $393.26	Professional		$138.90	$236.83	$393.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $161.79 / $246.95 / $803.93	Professional		$161.79	$246.95	$803.93
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $21.28 / $31.01 / $109.38	Professional	26	$21.28	$31.01	$109.38
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 $204.15 / $210.48 / $228.06	Professional		$204.15	$210.48	$228.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.96 / $32.34 / $238.58	Professional		$26.96	$32.34	$238.58
United Facility/Professional Professional Modifier Low / Median / High Price $152.13 / $230.03 / $384.36	Professional		$152.13	$230.03	$384.36