Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.69 / $128.28 / $286.89	Facility		$80.69	$128.28	$286.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.12 / $73.63 / $122.85	Professional		$57.12	$73.63	$122.85
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $57.12 / $57.12 / $57.12	Professional	CQ	$57.12	$57.12	$57.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $136.59 / $234.03 / $911.42	Facility		$136.59	$234.03	$911.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.69 / $101.80 / $108.68	Professional		$75.69	$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 / $97.76 / $156.16	Professional		$63.64	$97.76	$156.16
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $94.38 / $141.57 / $235.95	Professional		$94.38	$141.57	$235.95
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 $70.90 / $77.80 / $120.35	Professional		$70.90	$77.80	$120.35