Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.86 / $22.86 / $39.03	Facility	26	$22.86	$22.86	$39.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.71 / $74.42 / $103.19	Professional		$60.71	$74.42	$103.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.22 / $22.86 / $31.22	Professional	26	$20.22	$22.86	$31.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.20 / $66.18 / $134.85	Professional		$23.20	$66.18	$134.85
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.49 / $24.49 / $24.49	Facility	26	$24.49	$24.49	$24.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.23 / $91.74 / $148.09	Professional		$66.23	$91.74	$148.09
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.96 / $29.68 / $47.39	Professional	26	$21.96	$29.68	$47.39
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $65.64 / $95.47 / $265.16	Professional		$65.64	$95.47	$265.16
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $21.14 / $29.42 / $97.78	Professional	26	$21.14	$29.42	$97.78
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 $77.56 / $78.98 / $85.24	Professional		$77.56	$78.98	$85.24
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $23.12 / $25.97 / $27.20	Professional	26	$23.12	$25.97	$27.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.45 / $32.34 / $89.18	Professional		$28.45	$32.34	$89.18
United Facility/Professional Professional Modifier Low / Median / High Price $68.75 / $91.50 / $149.38	Professional		$68.75	$91.50	$149.38
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.43 / $28.67 / $47.77	Professional	26	$21.43	$28.67	$47.77