Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $63.36 / $119.81 / $204.06	Facility	26	$63.36	$119.81	$204.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $227.04 / $278.45 / $451.60	Professional		$227.04	$278.45	$451.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.13 / $303.66 / $582.12	Professional		$85.13	$303.66	$582.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.37 / $393.84 / $606.02	Professional		$251.37	$393.84	$606.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $261.48 / $401.72 / $1,432.30	Professional		$261.48	$401.72	$1,432.30
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $71.42 / $105.03 / $405.62	Professional	26	$71.42	$105.03	$405.62
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 $309.02 / $316.99 / $341.33	Professional		$309.02	$316.99	$341.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $92.51 / $357.08	Professional		$32.34	$92.51	$357.08
United Facility/Professional Professional Modifier Low / Median / High Price $298.10 / $391.66 / $596.34	Professional		$298.10	$391.66	$596.34