Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $22.83 / $193.00	Facility		$11.75	$22.83	$193.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.15 / $11.67 / $18.32	Professional		$9.15	$11.67	$18.32
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $10.13 / $42.87 / $56.92	Professional	CQ	$10.13	$42.87	$56.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.66 / $49.51 / $159.41	Facility		$24.66	$49.51	$159.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.43 / $14.57 / $15.53	Professional		$13.43	$14.57	$15.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $70.00 / $85.00	Facility		$60.00	$70.00	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.06 / $26.26 / $107.04	Professional		$13.06	$26.26	$107.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.12 / $20.65 / $46.13	Professional		$14.12	$20.65	$46.13
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 $17.89 / $17.98 / $19.18	Professional		$17.89	$17.98	$19.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.14 / $32.34 / $32.34	Professional		$18.14	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $12.58 / $14.14 / $21.63	Professional		$12.58	$14.14	$21.63