Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $84.99 / $84.99 / $84.99	Facility	26	$84.99	$84.99	$84.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.39 / $137.96 / $213.84	Professional		$116.39	$137.96	$213.84
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.95 / $32.18 / $60.88	Professional	26	$28.95	$32.18	$60.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.28 / $112.28 / $248.57	Professional		$40.28	$112.28	$248.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.96 / $80.19 / $250.19	Professional		$49.96	$80.19	$250.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.39 / $20.74 / $58.32	Professional	26	$17.39	$20.74	$58.32
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $149.46 / $212.07 / $345.81	Professional		$149.46	$212.07	$345.81
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $41.75 / $60.88 / $134.38	Professional	26	$41.75	$60.88	$134.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $49.40 / $235.76	Professional		$32.34	$49.40	$235.76
United Facility/Professional Professional Modifier Low / Median / High Price $87.76 / $131.33 / $198.93	Professional		$87.76	$131.33	$198.93
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.88 / $37.70 / $60.63	Professional	26	$24.88	$37.70	$60.63