Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.58 / $84.34 / $117.81	Facility	26	$53.58	$84.34	$117.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.72 / $190.86 / $260.42	Professional		$162.72	$190.86	$260.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.10 / $182.01 / $290.72	Professional		$58.10	$182.01	$290.72
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $59.66 / $59.66 / $59.66	Facility	26	$59.66	$59.66	$59.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.27 / $253.54 / $417.95	Professional		$148.27	$253.54	$417.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $172.05 / $253.54 / $5,140.39	Professional		$172.05	$253.54	$5,140.39
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $54.45 / $78.20 / $1,799.39	Professional	26	$54.45	$78.20	$1,799.39
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 $200.12 / $213.34 / $235.43	Professional		$200.12	$213.34	$235.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $62.05 / $246.30	Professional		$32.34	$62.05	$246.30
United Facility/Professional Professional Modifier Low / Median / High Price $163.93 / $246.53 / $435.51	Professional		$163.93	$246.53	$435.51