Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.88 / $93.50 / $93.50	Facility	26	$61.88	$93.50	$93.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.36 / $171.72 / $297.41	Professional		$145.36	$171.72	$297.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.06 / $185.79 / $586.04	Professional		$66.06	$185.79	$586.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $283.55 / $450.13 / $656.62	Professional		$283.55	$450.13	$656.62
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $345.40 / $501.86 / $773.60	Professional		$345.40	$501.86	$773.60
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $65.53 / $92.33 / $156.72	Professional	26	$65.53	$92.33	$156.72
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 $390.12 / $402.27 / $434.02	Professional		$390.12	$402.27	$434.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $78.34 / $214.44	Professional		$32.34	$78.34	$214.44
United Facility/Professional Professional Modifier Low / Median / High Price $307.08 / $412.70 / $716.18	Professional		$307.08	$412.70	$716.18