Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.62 / $48.98 / $48.98	Facility	26	$31.62	$48.98	$48.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $85.11 / $147.91	Professional		$66.07	$85.11	$147.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $81.28 / $128.82	Professional		$34.67	$81.28	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $104.71 / $158.49	Professional		$69.18	$104.71	$158.49
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $123.03 / $398.11	Professional		$75.86	$123.03	$398.11
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $30.90 / $48.98 / $213.80	Professional	26	$30.90	$48.98	$213.80
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 $95.50 / $95.50 / $104.71	Professional		$95.50	$95.50	$104.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $93.33 / $158.49	Professional		$70.79	$93.33	$158.49