Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $70.79 / $70.79 / $70.79	Facility	26	$70.79	$70.79	$70.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $117.49 / $251.19	Professional		$87.10	$117.49	$251.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $30.20 / $489.78	Professional	26	$19.05	$30.20	$489.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $79.43 / $208.93	Professional		$28.84	$79.43	$208.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $74.13 / $218.78	Professional		$54.95	$74.13	$218.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.30 / $15.49 / $43.65	Professional	26	$12.30	$15.49	$43.65
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $213.80 / $380.19	Professional		$134.90	$213.80	$380.19
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $26.92 / $42.66 / $177.83	Professional	26	$26.92	$42.66	$177.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $117.49 / $177.83	Professional		$70.79	$117.49	$177.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.38 / $28.18 / $43.65	Professional	26	$17.38	$28.18	$43.65