Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.87 / $84.44 / $84.44	Facility	26	$46.87	$84.44	$84.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.64 / $252.60 / $438.63	Professional		$193.64	$252.60	$438.63
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.23 / $54.69 / $84.44	Professional	26	$42.23	$54.69	$84.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.24 / $321.67 / $478.03	Professional		$59.24	$321.67	$478.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $232.21 / $348.05 / $559.79	Professional		$232.21	$348.05	$559.79
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.77 / $72.12 / $116.17	Professional	26	$49.77	$72.12	$116.17
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $354.68 / $499.78 / $822.00	Professional		$354.68	$499.78	$822.00
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $58.76 / $80.13 / $213.07	Professional	26	$58.76	$80.13	$213.07
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 $377.07 / $391.82 / $419.17	Professional		$377.07	$391.82	$419.17
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $59.03 / $65.31 / $69.45	Professional	26	$59.03	$65.31	$69.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $72.65 / $438.52	Professional		$32.34	$72.65	$438.52
United Facility/Professional Professional Modifier Low / Median / High Price $220.64 / $301.44 / $475.54	Professional		$220.64	$301.44	$475.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $52.93 / $69.81 / $118.65	Professional	26	$52.93	$69.81	$118.65