Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $62.36 / $98.61 / $98.61	Facility	26	$62.36	$98.61	$98.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.93 / $132.47 / $190.08	Professional		$107.93	$132.47	$190.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.17 / $127.25 / $203.26	Professional		$67.17	$127.25	$203.26
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $69.97 / $69.97 / $69.97	Facility	26	$69.97	$69.97	$69.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.30 / $172.62 / $278.49	Professional		$102.30	$172.62	$278.49
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $175.66 / $3,828.96	Professional		$120.00	$175.66	$3,828.96
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $62.83 / $90.07 / $2,247.16	Professional	26	$62.83	$90.07	$2,247.16
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 $149.16 / $151.72 / $162.62	Professional		$149.16	$151.72	$162.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $47.29 / $160.63	Professional		$32.34	$47.29	$160.63
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $158.80 / $292.26	Professional		$112.20	$158.80	$292.26