Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $339.37 / $459.28 / $688.42	Facility	26	$339.37	$459.28	$688.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $980.03 / $1,192.49 / $1,661.95	Professional		$980.03	$1,192.49	$1,661.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $331.01 / $978.06 / $1,947.23	Professional		$331.01	$978.06	$1,947.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,055.60 / $1,471.76 / $2,066.19	Professional		$1,055.60	$1,471.76	$2,066.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $970.10 / $1,411.06 / $2,592.56	Professional		$970.10	$1,411.06	$2,592.56
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $304.44 / $432.10 / $1,072.02	Professional	26	$304.44	$432.10	$1,072.02
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 $1,143.18 / $1,146.48 / $1,281.01	Professional		$1,143.18	$1,146.48	$1,281.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $405.92 / $1,340.13	Professional		$32.34	$405.92	$1,340.13
United Facility/Professional Professional Modifier Low / Median / High Price $1,065.00 / $1,508.62 / $2,495.30	Professional		$1,065.00	$1,508.62	$2,495.30