Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $141.25 / $199.53 / $234.42	Facility	26	$141.25	$199.53	$234.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,000.00 / $1,819.70	Professional		$794.33	$1,000.00	$1,819.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $478.63 / $1,621.81	Professional		$154.88	$478.63	$1,621.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,148.15 / $1,659.59	Professional		$891.25	$1,148.15	$1,659.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,174.90 / $4,365.16	Professional		$741.31	$1,174.90	$4,365.16
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $138.04 / $190.55 / $575.44	Professional	26	$138.04	$190.55	$575.44
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 $954.99 / $977.24 / $1,071.52	Professional		$954.99	$977.24	$1,071.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,122.02 / $1,698.24	Professional		$831.76	$1,122.02	$1,698.24