Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $128.28 / $346.43	Facility		$80.00	$128.28	$346.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.11 / $73.36 / $110.24	Professional		$57.11	$73.36	$110.24
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $62.57 / $62.57 / $62.57	Professional	CQ	$62.57	$62.57	$62.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $136.59 / $238.76 / $1,002.45	Facility		$136.59	$238.76	$1,002.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.29 / $101.80 / $108.68	Professional		$83.29	$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 / $155.72	Professional		$63.64	$97.76	$155.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $94.38 / $141.57 / $268.77	Professional		$94.38	$141.57	$268.77
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 $70.98 / $77.80 / $123.12	Professional		$70.98	$77.80	$123.12