Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.04 / $69.47 / $114.75	Facility	26	$37.04	$69.47	$114.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $235.30 / $276.31 / $499.46	Professional		$235.30	$276.31	$499.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.87 / $172.76 / $590.78	Professional		$47.87	$172.76	$590.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $254.77 / $375.93 / $638.79	Professional		$254.77	$375.93	$638.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $265.38 / $390.83 / $2,005.22	Professional		$265.38	$390.83	$2,005.22
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $40.15 / $54.75 / $151.47	Professional	26	$40.15	$54.75	$151.47
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 $313.63 / $324.05 / $349.08	Professional		$313.63	$324.05	$349.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $52.02 / $365.19	Professional		$32.34	$52.02	$365.19
United Facility/Professional Professional Modifier Low / Median / High Price $290.57 / $371.49 / $587.04	Professional		$290.57	$371.49	$587.04