Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.87 / $119.78 / $220.46	Facility		$84.87	$119.78	$220.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.87 / $118.69 / $217.60	Professional		$84.87	$118.69	$217.60
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $128.72 / $128.72 / $128.72	Professional	25	$128.72	$128.72	$128.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $252.77 / $564.27 / $2,079.73	Facility		$252.77	$564.27	$2,079.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $150.10 / $155.60 / $176.21	Professional		$150.10	$155.60	$176.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.18 / $186.07 / $244.45	Professional		$87.18	$186.07	$244.45
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $129.00 / $182.55 / $270.44	Professional		$129.00	$182.55	$270.44
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $160.07 / $164.66 / $175.79	Professional		$160.07	$164.66	$175.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $159.60	Professional		$32.34	$32.34	$159.60
United Facility/Professional Professional Modifier Low / Median / High Price $108.32 / $154.94 / $290.48	Professional		$108.32	$154.94	$290.48