Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.09 / $19.79 / $19.79	Facility	26	$13.09	$19.79	$19.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.89 / $54.86 / $88.26	Professional		$47.89	$54.86	$88.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.14 / $50.37 / $102.96	Professional		$14.14	$50.37	$102.96
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.27 / $14.27 / $14.27	Facility	26	$14.27	$14.27	$14.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.23 / $76.94 / $117.74	Professional		$53.23	$76.94	$117.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $52.76 / $76.73 / $187.38	Professional		$52.76	$76.73	$187.38
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $12.81 / $18.42 / $57.61	Professional	26	$12.81	$18.42	$57.61
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 $62.35 / $63.00 / $69.47	Professional		$62.35	$63.00	$69.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.34 / $32.34 / $72.68	Professional		$17.34	$32.34	$72.68
United Facility/Professional Professional Modifier Low / Median / High Price $50.69 / $72.34 / $116.39	Professional		$50.69	$72.34	$116.39