Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.30 / $52.48 / $89.13	Facility	26	$26.30	$52.48	$89.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $208.93 / $416.87	Professional		$158.49	$208.93	$416.87
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $30.20 / $83.18	Professional	26	$25.12	$30.20	$83.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $131.83 / $446.68	Professional		$37.15	$131.83	$446.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $269.15 / $398.11	Professional		$158.49	$269.15	$398.11
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.30 / $41.69 / $66.07	Professional	26	$26.30	$41.69	$66.07
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $295.12 / $616.60	Professional		$181.97	$295.12	$616.60
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $30.90 / $45.71 / $104.71	Professional	26	$30.90	$45.71	$104.71
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 $234.42 / $245.47 / $263.03	Professional		$234.42	$245.47	$263.03
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $35.48 / $36.31 / $38.02	Professional	26	$35.48	$36.31	$38.02
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 $151.36 / $234.42 / $436.52	Professional		$151.36	$234.42	$436.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $29.51 / $38.90 / $58.88	Professional	26	$29.51	$38.90	$58.88