Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $79.34 / $79.34 / $251.13	Facility	26	$79.34	$79.34	$251.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $550.90 / $652.39 / $915.43	Professional		$550.90	$652.39	$915.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.75 / $377.17 / $1,387.20	Professional		$104.75	$377.17	$1,387.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $547.44 / $883.33 / $1,451.42	Professional		$547.44	$883.33	$1,451.42
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $623.13 / $917.70 / $3,973.47	Professional		$623.13	$917.70	$3,973.47
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $87.67 / $119.55 / $277.14	Professional	26	$87.67	$119.55	$277.14
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 $736.42 / $761.93 / $820.24	Professional		$736.42	$761.93	$820.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $113.85 / $858.09	Professional		$32.34	$113.85	$858.09
United Facility/Professional Professional Modifier Low / Median / High Price $669.63 / $858.33 / $1,422.89	Professional		$669.63	$858.33	$1,422.89