Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $44.67 / $91.20 / $144.54	Facility	26	$44.67	$91.20	$144.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $416.87 / $776.25	Professional		$323.59	$416.87	$776.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $218.78 / $870.96	Professional		$60.26	$218.78	$870.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $575.44 / $870.96	Professional		$331.13	$575.44	$870.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $954.99 / $3,019.95	Professional		$426.58	$954.99	$3,019.95
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $74.13 / $331.13	Professional	26	$53.70	$74.13	$331.13
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 $457.09 / $478.63 / $512.86	Professional		$457.09	$478.63	$512.86
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 $407.38 / $549.54 / $812.83	Professional		$407.38	$549.54	$812.83