Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.90 / $72.14 / $72.14	Facility	26	$41.90	$72.14	$72.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.49 / $204.75 / $321.72	Professional		$143.49	$204.75	$321.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.05 / $147.86 / $349.97	Professional		$53.05	$147.86	$349.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $180.12 / $307.37 / $442.15	Professional		$180.12	$307.37	$442.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $260.08 / $372.40 / $588.66	Professional		$260.08	$372.40	$588.66
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $55.54 / $78.79 / $205.48	Professional	26	$55.54	$78.79	$205.48
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 $276.06 / $284.26 / $307.37	Professional		$276.06	$284.26	$307.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $65.05 / $321.56	Professional		$32.34	$65.05	$321.56
United Facility/Professional Professional Modifier Low / Median / High Price $194.59 / $280.55 / $426.51	Professional		$194.59	$280.55	$426.51