Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.25 / $63.44 / $107.91	Facility	26	$34.25	$63.44	$107.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.63 / $176.40 / $294.58	Professional		$147.63	$176.40	$294.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.01 / $111.18 / $348.77	Professional		$45.01	$111.18	$348.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.78 / $231.22 / $389.38	Professional		$140.78	$231.22	$389.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $166.07 / $246.63 / $785.45	Professional		$166.07	$246.63	$785.45
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $37.77 / $55.03 / $202.81	Professional	26	$37.77	$55.03	$202.81
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 $200.62 / $205.61 / $222.65	Professional		$200.62	$205.61	$222.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $48.92 / $232.93	Professional		$32.34	$48.92	$232.93
United Facility/Professional Professional Modifier Low / Median / High Price $169.77 / $235.05 / $382.74	Professional		$169.77	$235.05	$382.74