Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $159.12 / $226.63 / $325.60	Facility	26	$159.12	$226.63	$325.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.58 / $1,014.92 / $1,483.77	Professional		$741.58	$1,014.92	$1,483.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.84 / $475.54 / $1,627.41	Professional		$154.84	$475.54	$1,627.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $837.06 / $1,179.30 / $1,589.71	Professional		$837.06	$1,179.30	$1,589.71
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $810.77 / $1,179.30 / $3,395.65	Professional		$810.77	$1,179.30	$3,395.65
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $139.62 / $195.47 / $349.05	Professional	26	$139.62	$195.47	$349.05
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 $958.18 / $977.77 / $1,072.35	Professional		$958.18	$977.77	$1,072.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $189.88 / $1,121.84	Professional		$32.34	$189.88	$1,121.84
United Facility/Professional Professional Modifier Low / Median / High Price $820.79 / $1,163.71 / $2,024.33	Professional		$820.79	$1,163.71	$2,024.33