Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.29 / $49.31 / $49.31	Facility	26	$32.29	$49.31	$49.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.81 / $80.87 / $111.45	Professional		$65.81	$80.87	$111.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.49 / $81.05 / $129.47	Professional		$34.49	$81.05	$129.47
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.17 / $35.17 / $35.17	Facility	26	$35.17	$35.17	$35.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.31 / $109.63 / $169.10	Professional		$68.31	$109.63	$169.10
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $78.02 / $112.56 / $357.08	Professional		$78.02	$112.56	$357.08
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $31.72 / $45.37 / $182.07	Professional	26	$31.72	$45.37	$182.07
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 $95.02 / $96.59 / $104.52	Professional		$95.02	$96.59	$104.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $109.34	Professional		$32.34	$32.34	$109.34
United Facility/Professional Professional Modifier Low / Median / High Price $70.38 / $99.04 / $170.37	Professional		$70.38	$99.04	$170.37