Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.51 / $60.51 / $60.51	Facility	26	$60.51	$60.51	$60.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.81 / $116.37 / $226.92	Professional		$96.81	$116.37	$226.92
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.64 / $22.29 / $64.75	Professional	26	$19.64	$22.29	$64.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.68 / $79.93 / $208.91	Professional		$28.68	$79.93	$208.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.13 / $70.16 / $218.66	Professional		$55.13	$70.16	$218.66
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.34 / $14.64 / $43.17	Professional	26	$12.34	$14.64	$43.17
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $137.74 / $213.03 / $380.48	Professional		$137.74	$213.03	$380.48
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $28.45 / $42.51 / $172.76	Professional	26	$28.45	$42.51	$172.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $35.17 / $198.51	Professional		$32.34	$35.17	$198.51
United Facility/Professional Professional Modifier Low / Median / High Price $70.90 / $118.16 / $193.26	Professional		$70.90	$118.16	$193.26
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.39 / $28.22 / $43.71	Professional	26	$17.39	$28.22	$43.71