Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.86 / $31.22 / $31.22	Facility	26	$19.86	$31.22	$31.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.97 / $82.91 / $131.68	Professional		$64.97	$82.91	$131.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.79 / $68.16 / $122.84	Professional		$21.79	$68.16	$122.84
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.16 / $22.16 / $22.16	Facility	26	$22.16	$22.16	$22.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.97 / $108.26 / $166.92	Professional		$40.97	$108.26	$166.92
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $66.81 / $112.08 / $918.63	Professional		$66.81	$112.08	$918.63
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $20.03 / $28.63 / $397.81	Professional	26	$20.03	$28.63	$397.81
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 $94.00 / $96.46 / $104.25	Professional		$94.00	$96.46	$104.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.71 / $32.34 / $101.23	Professional		$26.71	$32.34	$101.23
United Facility/Professional Professional Modifier Low / Median / High Price $47.64 / $98.43 / $188.08	Professional		$47.64	$98.43	$188.08