Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $501.19 / $676.08 / $1,071.52	Facility	26	$501.19	$676.08	$1,071.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,621.81 / $2,951.21	Professional		$1,380.38	$1,621.81	$2,951.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $1,348.96 / $2,630.27	Professional		$489.78	$1,348.96	$2,630.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,995.26 / $2,884.03	Professional		$1,445.44	$1,995.26	$2,884.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,905.46 / $6,918.31	Professional		$1,202.26	$1,905.46	$6,918.31
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $436.52 / $630.96 / $2,398.83	Professional	26	$436.52	$630.96	$2,398.83
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 $1,548.82 / $1,548.82 / $1,737.80	Professional		$1,548.82	$1,548.82	$1,737.80
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 $1,479.11 / $2,089.30 / $3,019.95	Professional		$1,479.11	$2,089.30	$3,019.95