Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.68 / $78.47 / $132.41	Facility	26	$41.68	$78.47	$132.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $183.33 / $215.12 / $479.90	Professional		$183.33	$215.12	$479.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.24 / $198.69 / $469.83	Professional		$55.24	$198.69	$469.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.05 / $298.01 / $487.90	Professional		$199.05	$298.01	$487.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $211.05 / $310.82 / $789.15	Professional		$211.05	$310.82	$789.15
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $46.35 / $68.01 / $193.70	Professional	26	$46.35	$68.01	$193.70
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 $249.42 / $255.97 / $276.72	Professional		$249.42	$255.97	$276.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $64.89 / $289.49	Professional		$32.34	$64.89	$289.49
United Facility/Professional Professional Modifier Low / Median / High Price $225.78 / $300.39 / $443.15	Professional		$225.78	$300.39	$443.15