Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $125.00 / $267.81	Facility	26	$100.00	$125.00	$267.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $100.00 / $124.09 / $195.00	Professional	26	$100.00	$124.09	$195.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $77.80 / $124.97 / $204.98	Professional	26	$77.80	$124.97	$204.98
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $93.37 / $136.58 / $261.27	Professional	26	$93.37	$136.58	$261.27
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 $108.03 / $110.34 / $116.05	Professional	26	$108.03	$110.34	$116.05
United Facility/Professional Professional Modifier 26 Low / Median / High Price $86.45 / $112.32 / $189.71	Professional	26	$86.45	$112.32	$189.71