Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $101.01 / $146.58 / $202.78	Facility	26	$101.01	$146.58	$202.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.72 / $182.48 / $287.94	Professional		$156.72	$182.48	$287.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.05 / $182.32 / $335.02	Professional		$99.05	$182.32	$335.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.52 / $228.32 / $358.33	Professional		$164.52	$228.32	$358.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $164.40 / $238.60 / $688.44	Professional		$164.40	$238.60	$688.44
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $91.10 / $133.10 / $536.23	Professional	26	$91.10	$133.10	$536.23
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 $197.25 / $199.30 / $213.72	Professional		$197.25	$199.30	$213.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $93.86 / $223.58	Professional		$32.34	$93.86	$223.58
United Facility/Professional Professional Modifier Low / Median / High Price $144.06 / $206.25 / $331.97	Professional		$144.06	$206.25	$331.97