Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.45 / $103.94 / $178.33	Facility		$67.45	$103.94	$178.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.22 / $86.96 / $145.84	Professional		$66.22	$86.96	$145.84
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $20.57 / $91.02 / $101.95	Professional	25	$20.57	$91.02	$101.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $183.54 / $397.04 / $1,463.37	Facility		$183.54	$397.04	$1,463.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.02 / $121.81 / $126.98	Professional		$119.02	$121.81	$126.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.27 / $140.57 / $190.96	Professional		$79.27	$140.57	$190.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $108.75 / $147.50 / $223.77	Professional		$108.75	$147.50	$223.77
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 $129.63 / $133.16 / $142.66	Professional		$129.63	$133.16	$142.66
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 $84.31 / $111.85 / $203.78	Professional		$84.31	$111.85	$203.78