Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.43 / $66.43 / $66.43	Facility	26	$42.43	$66.43	$66.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.98 / $100.86 / $145.43	Professional		$77.98	$100.86	$145.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.11 / $98.14 / $159.47	Professional		$46.11	$98.14	$159.47
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.68 / $46.68 / $46.68	Facility	26	$46.68	$46.68	$46.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.75 / $140.55 / $204.13	Professional		$73.75	$140.55	$204.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $95.84 / $145.75 / $350.01	Professional		$95.84	$145.75	$350.01
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $42.41 / $60.67 / $214.40	Professional	26	$42.41	$60.67	$214.40
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 $123.18 / $125.27 / $135.34	Professional		$123.18	$125.27	$135.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $132.65	Professional		$32.34	$32.34	$132.65
United Facility/Professional Professional Modifier Low / Median / High Price $79.89 / $121.08 / $222.53	Professional		$79.89	$121.08	$222.53