Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.97 / $36.21 / $38.93	Facility	26	$24.97	$36.21	$38.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.34 / $57.03 / $95.92	Professional		$36.34	$57.03	$95.92
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.53 / $24.97 / $38.70	Professional	26	$20.53	$24.97	$38.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.59 / $51.24 / $103.81	Professional		$23.59	$51.24	$103.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.85 / $66.78 / $96.99	Professional		$44.85	$66.78	$96.99
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.33 / $30.01 / $48.60	Professional	26	$22.33	$30.01	$48.60
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $51.37 / $73.79 / $159.09	Professional		$51.37	$73.79	$159.09
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $21.33 / $31.64 / $101.50	Professional	26	$21.33	$31.64	$101.50
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 $61.11 / $62.26 / $66.78	Professional		$61.11	$62.26	$66.78
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $26.31 / $26.40 / $27.65	Professional	26	$26.31	$26.40	$27.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.93 / $32.34 / $69.86	Professional		$28.93	$32.34	$69.86
United Facility/Professional Professional Modifier Low / Median / High Price $36.65 / $54.01 / $91.43	Professional		$36.65	$54.01	$91.43
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.62 / $27.05 / $50.86	Professional	26	$20.62	$27.05	$50.86