Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $51.35 / $118.66 / $177.69	Facility	26	$51.35	$118.66	$177.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.46 / $238.72 / $422.57	Professional		$182.46	$238.72	$422.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.69 / $183.10 / $414.38	Professional		$65.69	$183.10	$414.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.64 / $133.51 / $440.57	Professional		$74.64	$133.51	$440.57
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $265.62 / $386.35 / $827.98	Professional		$265.62	$386.35	$827.98
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $60.41 / $85.88 / $264.05	Professional	26	$60.41	$85.88	$264.05
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 $313.91 / $324.48 / $347.11	Professional		$313.91	$324.48	$347.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $80.55 / $363.13	Professional		$32.34	$80.55	$363.13
United Facility/Professional Professional Modifier Low / Median / High Price $140.31 / $225.20 / $394.10	Professional		$140.31	$225.20	$394.10