Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $151.36 / $234.42 / $239.88	Facility	26	$151.36	$234.42	$239.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $204.17 / $457.09	Professional		$169.82	$204.17	$457.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $223.87 / $302.00	Professional		$162.18	$223.87	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $245.47 / $398.11	Professional		$154.88	$245.47	$398.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $275.42 / $602.56	Professional		$158.49	$275.42	$602.56
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $128.82 / $218.78 / $645.65	Professional	26	$128.82	$218.78	$645.65
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 $218.78 / $223.87 / $239.88	Professional		$218.78	$223.87	$239.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $223.87 / $380.19	Professional		$162.18	$223.87	$380.19