Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.88 / $63.10 / $107.15	Facility	26	$33.88	$63.10	$107.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $181.97 / $309.03	Professional		$147.91	$181.97	$309.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $112.20 / $380.19	Professional		$44.67	$112.20	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $229.09 / $371.54	Professional		$141.25	$229.09	$371.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $251.19 / $851.14	Professional		$162.18	$251.19	$851.14
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $57.54 / $213.80	Professional	26	$38.02	$57.54	$213.80
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 $199.53 / $204.17 / $223.87	Professional		$199.53	$204.17	$223.87
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 $162.18 / $234.42 / $346.74	Professional		$162.18	$234.42	$346.74