Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $29.25 / $43.43 / $43.43	Facility	26	$29.25	$43.43	$43.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.95 / $172.56 / $213.62	Professional		$110.95	$172.56	$213.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.49 / $99.02 / $244.72	Professional		$30.49	$99.02	$244.72
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.43 / $31.43 / $31.43	Facility	26	$31.43	$31.43	$31.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.65 / $207.22 / $323.38	Professional		$105.65	$207.22	$323.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $132.71 / $215.42 / $496.74	Professional		$132.71	$215.42	$496.74
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $28.48 / $41.24 / $129.06	Professional	26	$28.48	$41.24	$129.06
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 $170.03 / $179.60 / $200.03	Professional		$170.03	$179.60	$200.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $36.25 / $193.41	Professional		$32.34	$36.25	$193.41
United Facility/Professional Professional Modifier Low / Median / High Price $110.59 / $177.78 / $290.29	Professional		$110.59	$177.78	$290.29