Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.69 / $81.28 / $134.90	Facility	26	$41.69	$81.28	$134.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $346.74 / $616.60	Professional		$281.84	$346.74	$616.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $346.74 / $776.25	Professional		$56.23	$346.74	$776.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $489.78 / $758.58	Professional		$288.40	$489.78	$758.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $954.99 / $2,570.40	Professional		$380.19	$954.99	$2,570.40
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $114.82 / $354.81	Professional	26	$53.70	$114.82	$354.81
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 $407.38 / $426.58 / $457.09	Professional		$407.38	$426.58	$457.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $478.63 / $707.95	Professional		$363.08	$478.63	$707.95