Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $44.89 / $44.89 / $78.30	Facility	26	$44.89	$44.89	$78.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.68 / $65.25 / $87.14	Professional		$53.68	$65.25	$87.14
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.45 / $44.89 / $59.52	Professional	26	$38.45	$44.89	$59.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.67 / $66.55 / $95.05	Professional		$48.67	$66.55	$95.05
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $50.53 / $50.53 / $50.53	Facility	26	$50.53	$50.53	$50.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.01 / $90.01 / $137.94	Professional		$66.01	$90.01	$137.94
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.05 / $61.98 / $96.53	Professional	26	$46.05	$61.98	$96.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $66.01 / $98.52 / $326.44	Professional		$66.01	$98.52	$326.44
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $45.74 / $62.79 / $220.53	Professional	26	$45.74	$62.79	$220.53
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 $78.01 / $79.12 / $83.71	Professional		$78.01	$79.12	$83.71
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $48.49 / $54.42 / $57.04	Professional	26	$48.49	$54.42	$57.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.89 / $32.34 / $84.01	Professional		$27.89	$32.34	$84.01
United Facility/Professional Professional Modifier Low / Median / High Price $59.40 / $88.66 / $132.41	Professional		$59.40	$88.66	$132.41
United Facility/Professional Professional Modifier 26 Low / Median / High Price $41.73 / $59.88 / $98.20	Professional	26	$41.73	$59.88	$98.20