Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.30 / $39.03 / $88.29	Facility	26	$26.30	$39.03	$88.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.55 / $196.63 / $347.90	Professional		$159.55	$196.63	$347.90
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.30 / $28.38 / $52.89	Professional	26	$26.30	$28.38	$52.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.83 / $131.96 / $445.77	Professional		$36.83	$131.96	$445.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.72 / $267.54 / $395.69	Professional		$147.72	$267.54	$395.69
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.31 / $41.21 / $66.50	Professional	26	$26.31	$41.21	$66.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $183.18 / $286.26 / $590.63	Professional		$183.18	$286.26	$590.63
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $30.81 / $45.03 / $91.47	Professional	26	$30.81	$45.03	$91.47
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 $236.65 / $244.22 / $263.64	Professional		$236.65	$244.22	$263.64
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $35.35 / $36.24 / $38.26	Professional	26	$35.35	$36.24	$38.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $40.02 / $275.81	Professional		$32.34	$40.02	$275.81
United Facility/Professional Professional Modifier Low / Median / High Price $155.27 / $247.66 / $443.62	Professional		$155.27	$247.66	$443.62
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.38 / $37.53 / $62.54	Professional	26	$30.38	$37.53	$62.54