Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $87.10 / $204.17	Facility		$54.95	$87.10	$204.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $53.70 / $134.90	Professional		$37.15	$53.70	$134.90
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $69.18 / $69.18 / $69.18	Professional	CQ	$69.18	$69.18	$69.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $117.49 / $660.69	Facility		$79.43	$117.49	$660.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $70.79 / $74.13	Professional		$63.10	$70.79	$74.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $70.79 / $107.15	Facility		$54.95	$70.79	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $48.98 / $104.71	Professional		$36.31	$48.98	$104.71
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $97.72 / $144.54	Professional		$64.57	$97.72	$144.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $85.11 / $89.13	Professional		$83.18	$85.11	$89.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $74.13 / $112.20	Facility		$67.61	$74.13	$112.20
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $53.70 / $83.18	Professional		$47.86	$53.70	$83.18