Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.69 / $128.28 / $268.08	Facility		$80.69	$128.28	$268.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.12 / $73.63 / $128.28	Professional		$57.12	$73.63	$128.28
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $151.44 / $210.63 / $239.70	Professional	CQ	$151.44	$210.63	$239.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $136.59 / $233.16 / $820.40	Facility		$136.59	$233.16	$820.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.12 / $101.80 / $108.68	Professional		$68.12	$101.80	$108.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $70.00 / $108.00	Facility		$60.00	$70.00	$108.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.64 / $96.64 / $155.72	Professional		$63.64	$96.64	$155.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $94.38 / $141.57 / $237.83	Professional		$94.38	$141.57	$237.83
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $2,429.96 / $2,429.96 / $2,429.96	Facility		$2,429.96	$2,429.96	$2,429.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $122.69 / $123.67 / $130.97	Professional		$122.69	$123.67	$130.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $141.05	Professional		$32.34	$32.34	$141.05
United Facility/Professional Professional Modifier Low / Median / High Price $70.30 / $77.80 / $120.95	Professional		$70.30	$77.80	$120.95