Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $121.23 / $205.02	Facility	26	$100.00	$121.23	$205.02
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $90.00 / $104.42 / $291.50	Professional	26	$90.00	$104.42	$291.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $59.65 / $95.67 / $166.02	Professional	26	$59.65	$95.67	$166.02
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $71.73 / $108.92 / $353.07	Professional	26	$71.73	$108.92	$353.07
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 26 Low / Median / High Price $83.49 / $84.77 / $88.84	Professional	26	$83.49	$84.77	$88.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $66.84 / $85.74 / $144.32	Professional	26	$66.84	$85.74	$144.32