Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $23.99 / $194.98	Facility		$8.91	$23.99	$194.98
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $36.31 / $151.36 / $2,570.40	Facility	CQ	$36.31	$151.36	$2,570.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $10.96 / $26.92	Professional		$7.08	$10.96	$26.92
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $8.71 / $26.92 / $30.20	Professional	CQ	$8.71	$26.92	$30.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $46.77 / $134.90	Facility		$16.98	$46.77	$134.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $12.30 / $14.13	Professional		$10.96	$12.30	$14.13
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 $8.13 / $15.14 / $31.62	Professional		$8.13	$15.14	$31.62
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $17.38 / $74.13	Professional		$11.22	$17.38	$74.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $14.79 / $15.85	Professional		$14.45	$14.79	$15.85
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 $11.75 / $13.18 / $19.95	Facility		$11.75	$13.18	$19.95
United Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $13.80 / $20.42	Professional		$10.72	$13.80	$20.42