Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.48 / $85.11 / $93.33	Facility	26	$52.48	$85.11	$93.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $194.98 / $346.74	Professional		$169.82	$194.98	$346.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $181.97 / $288.40	Professional		$57.54	$181.97	$288.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $245.47 / $398.11	Professional		$147.91	$245.47	$398.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $269.15 / $5,888.44	Professional		$165.96	$269.15	$5,888.44
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $83.18 / $1,995.26	Professional	26	$52.48	$83.18	$1,995.26
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 $199.53 / $213.80 / $234.42	Professional		$199.53	$213.80	$234.42
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 $162.18 / $223.87 / $389.05	Professional		$162.18	$223.87	$389.05