Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $89.47 / $139.84 / $139.84	Facility	26	$89.47	$139.84	$139.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.00 / $154.91 / $211.64	Professional		$129.00	$154.91	$211.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.71 / $151.41 / $241.87	Professional		$94.71	$151.41	$241.87
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $97.96 / $97.96 / $97.96	Facility	26	$97.96	$97.96	$97.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.56 / $207.55 / $326.25	Professional		$151.56	$207.55	$326.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $146.99 / $222.38 / $426.03	Professional		$146.99	$222.38	$426.03
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $84.81 / $121.16 / $295.43	Professional	26	$84.81	$121.16	$295.43
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 $177.50 / $177.97 / $192.73	Professional		$177.50	$177.97	$192.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $55.76 / $191.16	Professional		$32.34	$55.76	$191.16
United Facility/Professional Professional Modifier Low / Median / High Price $141.44 / $211.61 / $321.27	Professional		$141.44	$211.61	$321.27