Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.62 / $41.03 / $68.67	Facility	26	$21.62	$41.03	$68.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.80 / $175.22 / $309.67	Professional		$153.80	$175.22	$309.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.65 / $102.97 / $395.02	Professional		$28.65	$102.97	$395.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $152.31 / $243.05 / $404.97	Professional		$152.31	$243.05	$404.97
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $174.64 / $258.10 / $615.41	Professional		$174.64	$258.10	$615.41
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $24.03 / $35.02 / $91.15	Professional	26	$24.03	$35.02	$91.15
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 $209.70 / $216.22 / $234.05	Professional		$209.70	$216.22	$234.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.46 / $32.34 / $244.85	Professional		$30.46	$32.34	$244.85
United Facility/Professional Professional Modifier Low / Median / High Price $167.90 / $236.60 / $393.34	Professional		$167.90	$236.60	$393.34