Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $29.00 / $51.35 / $57.30	Facility	26	$29.00	$51.35	$57.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.28 / $213.67 / $393.71	Professional		$169.28	$213.67	$393.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.28 / $139.25 / $501.92	Professional		$39.28	$139.25	$501.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.20 / $297.58 / $446.99	Professional		$169.20	$297.58	$446.99
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $215.22 / $327.95 / $629.66	Professional		$215.22	$327.95	$629.66
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $32.36 / $47.48 / $87.91	Professional	26	$32.36	$47.48	$87.91
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 $266.45 / $274.04 / $297.57	Professional		$266.45	$274.04	$297.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $42.69 / $311.30	Professional		$32.34	$42.69	$311.30
United Facility/Professional Professional Modifier Low / Median / High Price $178.01 / $267.06 / $494.76	Professional		$178.01	$267.06	$494.76