Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.30 / $137.63 / $255.20	Facility		$97.30	$137.63	$255.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.30 / $123.62 / $196.68	Professional		$97.30	$123.62	$196.68
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $24.50 / $68.90 / $175.00	Professional	25	$24.50	$68.90	$175.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $268.87 / $589.57 / $2,168.34	Facility		$268.87	$589.57	$2,168.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $170.13 / $174.13 / $183.81	Professional		$170.13	$174.13	$183.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.41 / $193.50 / $244.72	Professional		$99.41	$193.50	$244.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $149.03 / $210.06 / $345.40	Professional		$149.03	$210.06	$345.40
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 $184.51 / $190.33 / $203.93	Professional		$184.51	$190.33	$203.93
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 $109.83 / $153.72 / $286.58	Professional		$109.83	$153.72	$286.58