Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $338.84 / $457.09 / $512.86	Facility	26	$338.84	$457.09	$512.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,202.26 / $2,238.72	Professional		$954.99	$1,202.26	$2,238.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $977.24 / $1,949.84	Professional		$331.13	$977.24	$1,949.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,479.11 / $2,089.30	Professional		$1,047.13	$1,479.11	$2,089.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,380.38 / $3,162.28	Professional		$891.25	$1,380.38	$3,162.28
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $295.12 / $426.58 / $1,096.48	Professional	26	$295.12	$426.58	$1,096.48
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 $1,148.15 / $1,148.15 / $1,288.25	Professional		$1,148.15	$1,148.15	$1,288.25
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 $1,047.13 / $1,479.11 / $2,137.96	Professional		$1,047.13	$1,479.11	$2,137.96