Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $110.47 / $189.57 / $189.57	Facility	26	$110.47	$189.57	$189.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $313.93 / $384.20 / $519.46	Professional		$313.93	$384.20	$519.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.25 / $343.52 / $618.94	Professional		$123.25	$343.52	$618.94
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $127.80 / $127.80 / $127.80	Facility	26	$127.80	$127.80	$127.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $305.02 / $520.72 / $837.21	Professional		$305.02	$520.72	$837.21
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $345.40 / $534.58 / $867.87	Professional		$345.40	$534.58	$867.87
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $113.35 / $168.88 / $284.69	Professional	26	$113.35	$168.88	$284.69
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 $454.22 / $462.62 / $501.44	Professional		$454.22	$462.62	$501.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $119.09 / $489.16	Professional		$32.34	$119.09	$489.16
United Facility/Professional Professional Modifier Low / Median / High Price $301.95 / $478.64 / $835.05	Professional		$301.95	$478.64	$835.05