Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.15 / $69.18 / $114.82	Facility	26	$37.15	$69.18	$114.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $288.40 / $524.81	Professional		$234.42	$288.40	$524.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $173.78 / $588.84	Professional		$47.86	$173.78	$588.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $380.19 / $660.69	Professional		$251.19	$380.19	$660.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $407.38 / $2,089.30	Professional		$263.03	$407.38	$2,089.30
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $54.95 / $281.84	Professional	26	$38.02	$54.95	$281.84
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 $316.23 / $323.59 / $346.74	Professional		$316.23	$323.59	$346.74
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 $288.40 / $389.05 / $575.44	Professional		$288.40	$389.05	$575.44