Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.43 / $75.67 / $122.38	Facility		$47.43	$75.67	$122.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.13 / $62.75 / $97.89	Professional		$44.13	$62.75	$97.89
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $14.48 / $70.06 / $76.20	Professional	25	$14.48	$70.06	$76.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.46 / $300.08 / $1,099.01	Facility		$138.46	$300.08	$1,099.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.73 / $83.65 / $87.28	Professional		$81.73	$83.65	$87.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.19 / $101.74 / $135.88	Professional		$56.19	$101.74	$135.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $75.36 / $103.24 / $150.72	Professional		$75.36	$103.24	$150.72
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 $89.58 / $91.52 / $97.97	Professional		$89.58	$91.52	$97.97
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 $61.79 / $77.41 / $146.59	Professional		$61.79	$77.41	$146.59