Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $51.29 / $97.72 / $165.96	Facility	26	$51.29	$97.72	$165.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $223.87 / $489.78	Professional		$181.97	$223.87	$489.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $239.88 / $467.74	Professional		$69.18	$239.88	$467.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $302.00 / $489.78	Professional		$194.98	$302.00	$489.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $346.74 / $1,096.48	Professional		$208.93	$346.74	$1,096.48
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $87.10 / $346.74	Professional	26	$57.54	$87.10	$346.74
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 $245.47 / $251.19 / $269.15	Professional		$245.47	$251.19	$269.15
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 $234.42 / $309.03 / $457.09	Professional		$234.42	$309.03	$457.09