Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.83 / $58.70 / $63.43	Facility	26	$40.83	$58.70	$63.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.97 / $76.08 / $120.60	Professional		$63.97	$76.08	$120.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.38 / $41.42 / $54.46	Professional	26	$36.38	$41.42	$54.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.82 / $73.70 / $141.13	Professional		$38.82	$73.70	$141.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.15 / $93.54 / $142.07	Professional		$69.15	$93.54	$142.07
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.72 / $51.46 / $82.76	Professional	26	$36.72	$51.46	$82.76
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $70.31 / $102.27 / $266.93	Professional		$70.31	$102.27	$266.93
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $35.04 / $49.65 / $166.70	Professional	26	$35.04	$49.65	$166.70
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 $83.10 / $84.25 / $90.23	Professional		$83.10	$84.25	$90.23
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $38.69 / $43.07 / $45.51	Professional	26	$38.69	$43.07	$45.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $42.32 / $94.40	Professional		$32.34	$42.32	$94.40
United Facility/Professional Professional Modifier Low / Median / High Price $59.71 / $83.51 / $128.21	Professional		$59.71	$83.51	$128.21
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.43 / $49.73 / $77.76	Professional	26	$34.43	$49.73	$77.76