Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $29.42 / $29.42 / $46.47	Facility	26	$29.42	$29.42	$46.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.02 / $104.40 / $246.06	Professional		$46.02	$104.40	$246.06
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.07 / $29.09 / $50.26	Professional	26	$26.07	$29.09	$50.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.07 / $141.88 / $388.75	Professional		$42.07	$141.88	$388.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.02 / $158.02 / $158.02	Professional		$158.02	$158.02	$158.02
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.27 / $28.27 / $28.27	Professional	26	$28.27	$28.27	$28.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $139.88 / $200.00 / $447.70	Professional		$139.88	$200.00	$447.70
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $26.99 / $34.86 / $81.06	Professional	26	$26.99	$34.86	$81.06
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 $206.38 / $213.94 / $229.29	Professional		$206.38	$213.94	$229.29
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $35.11 / $38.75 / $41.31	Professional	26	$35.11	$38.75	$41.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $46.72 / $239.88	Professional		$32.34	$46.72	$239.88
United Facility/Professional Professional Modifier Low / Median / High Price $67.78 / $131.41 / $222.84	Professional		$67.78	$131.41	$222.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $29.89 / $40.72 / $65.36	Professional	26	$29.89	$40.72	$65.36