Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.40 / $60.40 / $60.40	Facility	26	$60.40	$60.40	$60.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.67 / $29.08 / $57.47	Professional		$25.67	$29.08	$57.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.63 / $42.78 / $54.17	Professional		$28.63	$42.78	$54.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.78 / $21.42 / $55.13	Professional		$15.78	$21.42	$55.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $36.75 / $53.46 / $91.59	Professional		$36.75	$53.46	$91.59
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $27.42 / $39.89 / $102.48	Professional	26	$27.42	$39.89	$102.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.17 / $32.34 / $49.11	Professional		$11.17	$32.34	$49.11
United Facility/Professional Professional Modifier Low / Median / High Price $22.47 / $37.45 / $61.35	Professional		$22.47	$37.45	$61.35