Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.02 / $51.91 / $61.76	Facility	26	$33.02	$51.91	$61.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $184.94 / $215.83 / $391.57	Professional		$184.94	$215.83	$391.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.79 / $156.63 / $469.74	Professional		$43.79	$156.63	$469.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $180.99 / $288.41 / $487.34	Professional		$180.99	$288.41	$487.34
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $207.08 / $306.93 / $1,168.01	Professional		$207.08	$306.93	$1,168.01
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $36.58 / $53.53 / $216.48	Professional	26	$36.58	$53.53	$216.48
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 $249.38 / $256.39 / $277.73	Professional		$249.38	$256.39	$277.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $47.59 / $290.55	Professional		$32.34	$47.59	$290.55
United Facility/Professional Professional Modifier Low / Median / High Price $192.65 / $274.14 / $476.53	Professional		$192.65	$274.14	$476.53