Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $504.34 / $717.45 / $1,021.95	Facility	26	$504.34	$717.45	$1,021.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,370.97 / $1,624.98 / $2,518.71	Professional		$1,370.97	$1,624.98	$2,518.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $490.17 / $1,333.97 / $2,655.83	Professional		$490.17	$1,333.97	$2,655.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,436.54 / $2,014.98 / $2,897.55	Professional		$1,436.54	$2,014.98	$2,897.55
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,323.12 / $1,924.54 / $5,468.07	Professional		$1,323.12	$1,924.54	$5,468.07
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $450.83 / $640.19 / $2,411.11	Professional	26	$450.83	$640.19	$2,411.11
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 $1,552.63 / $1,563.69 / $1,746.32	Professional		$1,552.63	$1,563.69	$1,746.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $649.73 / $1,974.68	Professional		$32.34	$649.73	$1,974.68
United Facility/Professional Professional Modifier Low / Median / High Price $1,479.67 / $2,110.59 / $3,466.87	Professional		$1,479.67	$2,110.59	$3,466.87