Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.93 / $81.33 / $106.35	Facility	26	$42.93	$81.33	$106.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $303.80 / $345.78 / $606.28	Professional		$303.80	$345.78	$606.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.88 / $347.89 / $774.47	Professional		$56.88	$347.89	$774.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $298.39 / $493.48 / $763.31	Professional		$298.39	$493.48	$763.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $387.74 / $588.66 / $2,102.77	Professional		$387.74	$588.66	$2,102.77
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $54.03 / $77.80 / $319.58	Professional	26	$54.03	$77.80	$319.58
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 $411.14 / $425.17 / $458.24	Professional		$411.14	$425.17	$458.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $61.81 / $479.39	Professional		$32.34	$61.81	$479.39
United Facility/Professional Professional Modifier Low / Median / High Price $376.31 / $488.26 / $760.40	Professional		$376.31	$488.26	$760.40