Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.91 / $15.85 / $15.85	Facility	26	$8.91	$15.85	$15.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $52.48 / $112.20	Professional		$42.66	$52.48	$112.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $45.71 / $83.18	Professional		$10.47	$45.71	$83.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $72.44 / $134.90	Professional		$48.98	$72.44	$134.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $97.72 / $309.03	Professional		$47.86	$97.72	$309.03
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $9.55 / $14.45 / $89.13	Professional	26	$9.55	$14.45	$89.13
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 $56.23 / $57.54 / $63.10	Professional		$56.23	$57.54	$63.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $57.54	Professional		$32.36	$33.11	$57.54
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $69.18 / $128.82	Professional		$47.86	$69.18	$128.82