Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $51.22 / $80.88 / $88.79	Facility	26	$51.22	$80.88	$88.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.20 / $105.95 / $183.44	Professional		$90.20	$105.95	$183.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.56 / $112.16 / $179.16	Professional		$55.56	$112.16	$179.16
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $56.98 / $56.98 / $56.98	Facility	26	$56.98	$56.98	$56.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.68 / $149.37 / $236.53	Professional		$104.68	$149.37	$236.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $106.20 / $156.77 / $302.27	Professional		$106.20	$156.77	$302.27
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $52.02 / $74.36 / $165.94	Professional	26	$52.02	$74.36	$165.94
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 $122.26 / $131.47 / $143.83	Professional		$122.26	$131.47	$143.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $38.34 / $141.60	Professional		$32.34	$38.34	$141.60
United Facility/Professional Professional Modifier Low / Median / High Price $94.74 / $139.41 / $252.65	Professional		$94.74	$139.41	$252.65