Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.18 / $61.37 / $70.06	Facility	26	$35.18	$61.37	$70.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $240.66 / $296.87 / $529.89	Professional		$240.66	$296.87	$529.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.65 / $167.22 / $604.52	Professional		$46.65	$167.22	$604.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.44 / $385.22 / $639.22	Professional		$269.44	$385.22	$639.22
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $271.56 / $396.23 / $1,386.09	Professional		$271.56	$396.23	$1,386.09
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $39.04 / $58.40 / $205.09	Professional	26	$39.04	$58.40	$205.09
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 $320.93 / $331.34 / $357.71	Professional		$320.93	$331.34	$357.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $50.69 / $374.22	Professional		$32.34	$50.69	$374.22
United Facility/Professional Professional Modifier Low / Median / High Price $271.92 / $403.63 / $626.48	Professional		$271.92	$403.63	$626.48