Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.24 / $83.78 / $83.78	Facility	26	$53.24	$83.78	$83.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.09 / $94.49 / $144.93	Professional		$80.09	$94.49	$144.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.74 / $87.12 / $126.12	Professional		$57.74	$87.12	$126.12
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $59.27 / $59.27 / $59.27	Facility	26	$59.27	$59.27	$59.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.59 / $124.84 / $202.75	Professional		$91.59	$124.84	$202.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $88.94 / $135.83 / $291.68	Professional		$88.94	$135.83	$291.68
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $51.64 / $73.77 / $189.33	Professional	26	$51.64	$73.77	$189.33
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 $106.31 / $107.13 / $115.41	Professional		$106.31	$107.13	$115.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.60 / $114.49	Professional		$32.34	$32.60	$114.49
United Facility/Professional Professional Modifier Low / Median / High Price $89.43 / $133.11 / $203.70	Professional		$89.43	$133.11	$203.70