Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.69 / $90.28 / $113.21	Facility	26	$45.69	$90.28	$113.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $345.16 / $414.55 / $681.88	Professional		$345.16	$414.55	$681.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.54 / $218.46 / $870.89	Professional		$60.54	$218.46	$870.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $344.76 / $569.03 / $903.79	Professional		$344.76	$569.03	$903.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $436.08 / $662.05 / $2,493.37	Professional		$436.08	$662.05	$2,493.37
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $53.22 / $73.86 / $266.51	Professional	26	$53.22	$73.86	$266.51
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 $462.33 / $478.21 / $515.37	Professional		$462.33	$478.21	$515.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $65.80 / $539.16	Professional		$32.34	$65.80	$539.16
United Facility/Professional Professional Modifier Low / Median / High Price $429.02 / $577.54 / $862.48	Professional		$429.02	$577.54	$862.48