Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.78 / $33.54 / $36.28	Facility	26	$23.78	$33.54	$36.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.29 / $54.34 / $71.48	Professional		$34.29	$54.34	$71.48
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.70 / $23.48 / $30.26	Professional	26	$19.70	$23.48	$30.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.85 / $47.80 / $102.06	Professional		$22.85	$47.80	$102.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.37 / $65.92 / $97.56	Professional		$43.37	$65.92	$97.56
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.47 / $29.47 / $45.47	Professional	26	$21.47	$29.47	$45.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $50.71 / $73.03 / $143.18	Professional		$50.71	$73.03	$143.18
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $20.50 / $29.04 / $75.59	Professional	26	$20.50	$29.04	$75.59
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 $60.09 / $60.75 / $65.92	Professional		$60.09	$60.75	$65.92
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $22.77 / $24.80 / $26.79	Professional	26	$22.77	$24.80	$26.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.03 / $32.34 / $68.97	Professional		$28.03	$32.34	$68.97
United Facility/Professional Professional Modifier Low / Median / High Price $33.15 / $50.41 / $85.54	Professional		$33.15	$50.41	$85.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.57 / $27.87 / $47.49	Professional	26	$19.57	$27.87	$47.49