Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.51 / $57.21 / $94.60	Facility	26	$41.51	$57.21	$94.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.84 / $180.42 / $606.36	Professional		$137.84	$180.42	$606.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.45 / $137.22 / $301.77	Professional		$38.45	$137.22	$301.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.01 / $203.00 / $282.61	Professional		$140.01	$203.00	$282.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $153.82 / $219.51 / $664.34	Professional		$153.82	$219.51	$664.34
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $38.14 / $53.74 / $205.99	Professional	26	$38.14	$53.74	$205.99
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 $177.67 / $183.00 / $196.47	Professional		$177.67	$183.00	$196.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $47.15 / $205.54	Professional		$32.34	$47.15	$205.54
United Facility/Professional Professional Modifier Low / Median / High Price $144.69 / $194.06 / $332.06	Professional		$144.69	$194.06	$332.06