Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.48 / $83.18 / $89.13	Facility	26	$52.48	$83.18	$89.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $97.72 / $223.87	Professional		$83.18	$97.72	$223.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $87.10 / $125.89	Professional		$57.54	$87.10	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $123.03 / $194.98	Professional		$91.20	$123.03	$194.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $154.88 / $323.59	Professional		$87.10	$154.88	$323.59
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $72.44 / $199.53	Professional	26	$48.98	$72.44	$199.53
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 $107.15 / $107.15 / $114.82	Professional		$107.15	$107.15	$114.82
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 $89.13 / $123.03 / $186.21	Professional		$89.13	$123.03	$186.21