Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.55 / $31.06 / $31.06	Facility	26	$19.55	$31.06	$31.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.49 / $73.76 / $122.73	Professional		$59.49	$73.76	$122.73
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.51 / $19.55 / $31.06	Professional	26	$17.51	$19.55	$31.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.06 / $63.76 / $108.74	Professional		$21.06	$63.76	$108.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.36 / $87.93 / $126.48	Professional		$41.36	$87.93	$126.48
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.03 / $25.69 / $38.33	Professional	26	$19.03	$25.69	$38.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $69.98 / $98.21 / $260.13	Professional		$69.98	$98.21	$260.13
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $20.68 / $27.48 / $69.80	Professional	26	$20.68	$27.48	$69.80
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 $79.79 / $82.50 / $87.92	Professional		$79.79	$82.50	$87.92
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $20.98 / $23.35 / $24.69	Professional	26	$20.98	$23.35	$24.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.03 / $32.34 / $91.98	Professional		$27.03	$32.34	$91.98
United Facility/Professional Professional Modifier Low / Median / High Price $48.84 / $81.13 / $150.10	Professional		$48.84	$81.13	$150.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.48 / $23.95 / $43.64	Professional	26	$17.48	$23.95	$43.64