Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $107.10 / $166.66 / $166.66	Facility	26	$107.10	$166.66	$166.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.41 / $220.50 / $317.92	Professional		$175.41	$220.50	$317.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.74 / $215.47 / $359.44	Professional		$114.74	$215.47	$359.44
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $118.15 / $118.15 / $118.15	Facility	26	$118.15	$118.15	$118.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $192.68 / $305.95 / $481.26	Professional		$192.68	$305.95	$481.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $216.23 / $314.51 / $1,260.41	Professional		$216.23	$314.51	$1,260.41
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $107.51 / $154.43 / $723.70	Professional	26	$107.51	$154.43	$723.70
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 $244.86 / $263.77 / $288.07	Professional		$244.86	$263.77	$288.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $85.30 / $284.07	Professional		$32.34	$85.30	$284.07
United Facility/Professional Professional Modifier Low / Median / High Price $190.13 / $281.89 / $524.78	Professional		$190.13	$281.89	$524.78