Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.37 / $153.83 / $258.93	Facility		$115.37	$153.83	$258.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.37 / $152.62 / $231.83	Professional		$115.37	$152.62	$231.83
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $139.07 / $193.85 / $504.07	Professional	25	$139.07	$193.85	$504.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $733.85 / $1,599.68 / $3,203.35	Facility		$733.85	$1,599.68	$3,203.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $200.22 / $204.93 / $240.94	Professional		$200.22	$204.93	$240.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.60 / $249.24 / $334.26	Professional		$107.60	$249.24	$334.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $176.39 / $246.12 / $369.24	Professional		$176.39	$246.12	$369.24
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 $218.65 / $225.15 / $240.01	Professional		$218.65	$225.15	$240.01
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 $137.37 / $194.03 / $317.08	Professional		$137.37	$194.03	$317.08