Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $119.36 / $119.36 / $119.36	Facility	26	$119.36	$119.36	$119.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.49 / $105.06 / $216.89	Professional		$90.49	$105.06	$216.89
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.69 / $43.94 / $87.74	Professional	26	$39.69	$43.94	$87.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.57 / $128.11 / $198.23	Professional		$56.57	$128.11	$198.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.76 / $105.60 / $224.46	Professional		$57.76	$105.60	$224.46
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.49 / $41.02 / $94.81	Professional	26	$24.49	$41.02	$94.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $138.61 / $199.90 / $345.25	Professional		$138.61	$199.90	$345.25
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $53.88 / $78.90 / $189.02	Professional	26	$53.88	$78.90	$189.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $69.37 / $185.37	Professional		$32.34	$69.37	$185.37
United Facility/Professional Professional Modifier Low / Median / High Price $85.94 / $151.10 / $234.25	Professional		$85.94	$151.10	$234.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.63 / $61.16 / $100.72	Professional	26	$35.63	$61.16	$100.72