Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.80 / $29.82 / $29.82	Facility	26	$18.80	$29.82	$29.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.02 / $68.81 / $96.84	Professional		$61.02	$68.81	$96.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.30 / $63.72 / $115.62	Professional		$20.30	$63.72	$115.62
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.92 / $20.92 / $20.92	Facility	26	$20.92	$20.92	$20.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.59 / $94.30 / $158.81	Professional		$67.59	$94.30	$158.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $67.14 / $97.67 / $263.39	Professional		$67.14	$97.67	$263.39
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $18.61 / $27.31 / $92.19	Professional	26	$18.61	$27.31	$92.19
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 $79.34 / $80.56 / $87.87	Professional		$79.34	$80.56	$87.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.90 / $32.34 / $91.92	Professional		$24.90	$32.34	$91.92
United Facility/Professional Professional Modifier Low / Median / High Price $66.59 / $87.95 / $143.74	Professional		$66.59	$87.95	$143.74