Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $51.91 / $90.54 / $97.83	Facility	26	$51.91	$90.54	$97.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.36 / $216.25 / $492.82	Professional		$180.36	$216.25	$492.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.75 / $242.16 / $464.21	Professional		$68.75	$242.16	$464.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $193.66 / $314.14 / $491.72	Professional		$193.66	$314.14	$491.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $208.53 / $330.02 / $1,014.62	Professional		$208.53	$330.02	$1,014.62
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $57.69 / $84.84 / $325.86	Professional	26	$57.69	$84.84	$325.86
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 $246.44 / $252.37 / $272.27	Professional		$246.44	$252.37	$272.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $74.72 / $284.83	Professional		$32.34	$74.72	$284.83
United Facility/Professional Professional Modifier Low / Median / High Price $232.20 / $307.25 / $557.16	Professional		$232.20	$307.25	$557.16