Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.97 / $35.76 / $65.47	Facility		$24.97	$35.76	$65.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.97 / $37.58 / $54.52	Professional		$24.97	$37.58	$54.52
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $7.82 / $7.82 / $7.82	Professional	25	$7.82	$7.82	$7.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $90.16 / $192.67 / $702.32	Facility		$90.16	$192.67	$702.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.74 / $52.57 / $59.60	Professional		$44.74	$52.57	$59.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.10 / $56.42 / $78.76	Professional		$34.10	$56.42	$78.76
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $40.29 / $58.03 / $117.39	Professional		$40.29	$58.03	$117.39
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 $48.10 / $49.01 / $52.39	Professional		$48.10	$49.01	$52.39
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 $36.71 / $51.45 / $98.15	Professional		$36.71	$51.45	$98.15