Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.89 / $42.89 / $42.89	Facility	26	$42.89	$42.89	$42.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.74 / $59.97 / $114.39	Professional		$50.74	$59.97	$114.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.32 / $71.36 / $110.42	Professional		$20.32	$71.36	$110.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.53 / $40.14 / $117.57	Professional		$31.53	$40.14	$117.57
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $65.63 / $103.33 / $204.33	Professional		$65.63	$103.33	$204.33
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $20.16 / $31.16 / $96.05	Professional	26	$20.16	$31.16	$96.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.95 / $32.34 / $104.75	Professional		$26.95	$32.34	$104.75
United Facility/Professional Professional Modifier Low / Median / High Price $41.30 / $68.84 / $109.26	Professional		$41.30	$68.84	$109.26