Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.67 / $19.55 / $115.51	Facility		$9.67	$19.55	$115.51
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $66.23 / $152.80 / $2,550.67	Facility	CQ	$66.23	$152.80	$2,550.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.79 / $10.80 / $17.48	Professional		$7.79	$10.80	$17.48
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $21.14 / $21.39 / $30.10	Professional	CQ	$21.14	$21.39	$30.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.24 / $51.74 / $165.53	Facility		$21.24	$51.74	$165.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.65 / $12.41 / $14.27	Professional		$11.65	$12.41	$14.27
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 $9.09 / $15.78 / $37.61	Professional		$9.09	$15.78	$37.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $11.51 / $17.34 / $74.84	Professional		$11.51	$17.34	$74.84
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 $14.55 / $14.66 / $15.78	Professional		$14.55	$14.66	$15.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.93 / $32.34 / $32.34	Professional		$14.93	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $10.74 / $14.37 / $21.70	Professional		$10.74	$14.37	$21.70