Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.82 / $21.45 / $86.98	Facility		$11.82	$21.45	$86.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.52 / $12.66 / $17.48	Professional		$9.52	$12.66	$17.48
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $11.57 / $53.04 / $53.04	Professional	CQ	$11.57	$53.04	$53.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.74 / $51.70 / $205.80	Facility		$23.74	$51.70	$205.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.16 / $15.23 / $17.53	Professional		$14.16	$15.23	$17.53
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 $13.27 / $26.72 / $108.10	Professional		$13.27	$26.72	$108.10
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $13.84 / $21.06 / $51.36	Professional		$13.84	$21.06	$51.36
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 $12.89 / $15.16 / $23.42	Professional		$12.89	$15.16	$23.42