Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.62 / $42.92 / $42.92	Facility	26	$27.62	$42.92	$42.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.91 / $157.72 / $192.46	Professional		$108.91	$157.72	$192.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.03 / $95.06 / $224.07	Professional		$29.03	$95.06	$224.07
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.71 / $30.71 / $30.71	Facility	26	$30.71	$30.71	$30.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.94 / $189.86 / $299.60	Professional		$103.94	$189.86	$299.60
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $125.20 / $196.06 / $491.43	Professional		$125.20	$196.06	$491.43
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $27.06 / $39.15 / $133.66	Professional	26	$27.06	$39.15	$133.66
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 $164.44 / $169.08 / $182.83	Professional		$164.44	$169.08	$182.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $34.79 / $191.27	Professional		$32.34	$34.79	$191.27
United Facility/Professional Professional Modifier Low / Median / High Price $102.60 / $170.56 / $282.35	Professional		$102.60	$170.56	$282.35