Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.74 / $77.62 / $131.83	Facility	26	$40.74	$77.62	$131.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $218.78 / $478.63	Professional		$181.97	$218.78	$478.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $199.53 / $467.74	Professional		$54.95	$199.53	$467.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $295.12 / $489.78	Professional		$199.53	$295.12	$489.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $323.59 / $851.14	Professional		$208.93	$323.59	$851.14
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $46.77 / $70.79 / $218.78	Professional	26	$46.77	$70.79	$218.78
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 $251.19 / $257.04 / $275.42	Professional		$251.19	$257.04	$275.42
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 $213.80 / $302.00 / $436.52	Professional		$213.80	$302.00	$436.52