Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.65 / $43.65 / $77.62	Facility	26	$43.65	$43.65	$77.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $66.07 / $89.13	Professional		$53.70	$66.07	$89.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $43.65 / $61.66	Professional	26	$38.02	$43.65	$61.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $67.61 / $95.50	Professional		$48.98	$67.61	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $87.10 / $134.90	Professional		$64.57	$87.10	$134.90
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.67 / $60.26 / $95.50	Professional	26	$44.67	$60.26	$95.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $120.23 / $331.13	Professional		$64.57	$120.23	$331.13
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $61.66 / $234.42	Professional	26	$41.69	$61.66	$234.42
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 $77.62 / $79.43 / $83.18	Professional		$77.62	$79.43	$83.18
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $54.95 / $57.54	Professional	26	$48.98	$54.95	$57.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $81.28 / $123.03	Professional		$60.26	$81.28	$123.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $57.54 / $87.10	Professional	26	$41.69	$57.54	$87.10