Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $151.19 / $247.23	Facility	26	$100.00	$151.19	$247.23
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $90.00 / $114.55 / $291.50	Professional	26	$90.00	$114.55	$291.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $74.30 / $115.38 / $193.61	Professional	26	$74.30	$115.38	$193.61
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $86.63 / $128.66 / $245.07	Professional	26	$86.63	$128.66	$245.07
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 26 Low / Median / High Price $101.34 / $102.38 / $107.13	Professional	26	$101.34	$102.38	$107.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $86.11 / $110.58 / $176.57	Professional	26	$86.11	$110.58	$176.57