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 $25.12 / $28.84 / $64.57	Professional		$25.12	$28.84	$64.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $37.15 / $53.70	Professional		$28.84	$37.15	$53.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $21.88 / $58.88	Professional		$15.85	$21.88	$58.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $56.23 / $91.20	Professional		$37.15	$56.23	$91.20
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $26.30 / $38.02 / $102.33	Professional	26	$26.30	$38.02	$102.33
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 $22.39 / $37.15 / $56.23	Professional		$22.39	$37.15	$56.23